Sutton, Clarence
Sutton, Clarence is an sole proprietor health care provider with primary practice located at 12805 Victory Blvd , N Hollywood CA 91606-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Sutton, Clarence can be contacted via phone (818) 506-5906.Contact Information
Primary practice address
12805 Victory Blvd
N Hollywood CA 91606-3012
Phone: (818) 506-5906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G74582 | California |
Profile Details
| NPI number | 1174674774 |
|---|---|
| LBN Legal business name | Sutton, Clarence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174674774 | NPPES |
| California | Other | G74582 | LICENSE |
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