Sutherland, Stephen Raymond

Sutherland, Stephen Raymond is an individual health care provider with primary practice located at 165 W. Center St. #401, Marion OH 43302-3741. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Sutherland, Stephen Raymond can be contacted via phone (740) 382-4121.

Contact Information

Primary practice address
165 W. Center St. #401 Marion OH 43302-3741
Phone: (740) 382-4121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-053397 Ohio
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 35-053397 Ohio

Profile Details

NPI number 1972571768
LBN Legal business name Sutherland, Stephen Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 29th, 2012 - about 14 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 1972571768 NPPES
Ohio MEDICAID 0625658

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