Barry, John Sutherland

Barry, John Sutherland is an individual health care provider with primary practice located at 1111 Highway 73 , Moose Lake MN 55767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Barry, John Sutherland can be contacted via phone (218) 565-6283.

Contact Information

Primary practice address
1111 Highway 73 Moose Lake MN 55767
Phone: (218) 565-6283
Fax: (651) 431-7631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44643 Minnesota

Profile Details

NPI number 1023095874
LBN Legal business name Barry, John Sutherland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 11th, 2018 - about 8 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 1023095874 NPPES
Minnesota MEDICAID 771183200

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