Sutton, Michael Philip

Sutton, Michael Philip is an sole proprietor health care provider with primary practice located at 4855 E State St , Rockford IL 61108-2274. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sutton, Michael Philip can be contacted via phone (815) 226-1405.

Contact Information

Primary practice address
4855 E State St Rockford IL 61108-2274
Fax: (815) 398-8132
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1497811541
LBN Legal business name Sutton, Michael Philip
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497811541 NPPES
Illinois Other P00119875 RR MEDICARE
Illinois Other 001B9 RR MEDICARE
Illinois Other 10182028 RR MEDICARE

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