Sutton, Larry W

Sutton, Larry W is an individual health care provider with primary practice located at 1805 S Sr 57 , Washington IN 47501-4326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sutton, Larry W can be contacted via phone (812) 254-7845.

Contact Information

Primary practice address
1805 S Sr 57 Washington IN 47501-4326
Fax: (812) 254-8857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000751A Indiana

Profile Details

NPI number 1417925165
LBN Legal business name Sutton, Larry W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 23rd, 2023 - 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 1417925165 NPPES
Indiana Other 000000094089 ANTHEM
Indiana MEDICAID 100175850 ANTHEM

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