Sutton, Robert Herbert

Sutton, Robert Herbert is an individual health care provider with primary practice located at 6200 Excelsior Blvd Ste 203 , St Louis Park MN 55416-2734. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sutton, Robert Herbert can be contacted via phone (952) 548-9340.

Contact Information

Primary practice address
6200 Excelsior Blvd Ste 203 St Louis Park MN 55416-2734
Phone: (952) 548-9340
Fax: (952) 548-9350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301693 Minnesota

Profile Details

NPI number 1720552557
LBN Legal business name Sutton, Robert Herbert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Jan 15th, 2019 - about 5 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 1720552557 NPPES
Minnesota Other LADC LADC

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