Sutherland, Dale F.
Sutherland, Dale F. is an individual health care provider with primary practice located at 12100 Black Swan Drive Suite 201, Lewes DE 19958-4988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sutherland, Dale F. can be contacted via phone (302) 644-3311.Contact Information
Primary practice address
12100 Black Swan Drive Suite 201
Lewes DE 19958-4988
Phone: (302) 644-3311
Fax: (302) 644-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | C1-0008250 | Delaware |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C1-0008250 | Delaware |
Profile Details
| NPI number | 1093807158 |
|---|---|
| LBN Legal business name | Sutherland, Dale F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jan 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093807158 | NPPES |
| Mississippi | MEDICAID | 09909511 | |
| Mississippi | Other | 1184681488 |
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