Sutherland, Mark Joseph

Sutherland, Mark Joseph is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sutherland, Mark Joseph can be contacted via phone (803) 935-8538.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 935-8538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2006-00273 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 92198 South Carolina

Profile Details

NPI number 1578554606
LBN Legal business name Sutherland, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 24th, 2024 - about 2 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 1578554606 NPPES
North Carolina Other 2054049 MEDICARE ID
North Carolina MEDICAID 5903826 MEDICARE ID
North Carolina Other 2054049E MEDICARE ID
North Carolina Other P00843366 MEDICARE ID
North Carolina Other 2054049C MEDICARE ID

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