E. Sutphen Md Llc

LBN: E. Sutphen Md Llc
E. Sutphen Md Llc is an health care organization with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. E. Sutphen Md Llc can be contacted via phone (314) 525-1688, or through Sutphen, Eric via phone (314) 525-1688.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Phone: (314) 525-1688
Fax: (314) 525-1689
Website:
Map and Directions
Authorized official contact:
Name: Sutphen, Eric Doctor of Medicine (MD)
Phone: (314) 525-1688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X R2P24 Missouri

Profile Details

NPI number 1144291659
LBN Legal business name E. Sutphen Md Llc
DBA Doing business as
Authorized official Sutphen, Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 10th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144291659 NPPES
Missouri MEDICAID 507584704
Missouri Other DC0795

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