Suttle, Sean Anthony

Suttle, Sean Anthony is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Suttle, Sean Anthony can be contacted via phone (541) 382-2811.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60053080 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2861 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA151054 Oregon

Profile Details

NPI number 1740287457
LBN Legal business name Suttle, Sean Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740287457 NPPES
Oregon Other 00887738 MEDICARE RAILROAD
Oregon Other 1740287457 MEDICARE RAILROAD
Oregon Other 2861 MEDICARE RAILROAD
Oregon MEDICAID 965519 MEDICARE RAILROAD
Oregon MEDICAID 500621825 MEDICARE RAILROAD

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