Sutherland, Michael Joseph

Sutherland, Michael Joseph is an sole proprietor health care provider with primary practice located at 3118 E Orchid Ln , Gilbert AZ 85296-7826. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Sutherland, Michael Joseph can be contacted via phone (480) 254-0941.

Contact Information

Primary practice address
3118 E Orchid Ln Gilbert AZ 85296-7826
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1184747081
LBN Legal business name Sutherland, Michael Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1184747081 NPPES
Arizona Other 076265 AZ AHCCCS PROVIDER ID

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