Sutphen, Eric
Sutphen, Eric is an individual health care provider with primary practice located at 450 N New Ballas Rd Ste 70W , Saint Louis MO 63141-6833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sutphen, Eric can be contacted via phone (314) 227-2301.Contact Information
Primary practice address
450 N New Ballas Rd Ste 70W
Saint Louis MO 63141-6833
Phone: (314) 227-2301
Fax: (314) 227-2316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | R2P24 | Missouri |
Profile Details
| NPI number | 1932170859 |
|---|---|
| LBN Legal business name | Sutphen, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 16th, 2015 - about 11 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 | 1932170859 | NPPES |
| Missouri | MEDICAID | 203032628 | |
| Missouri | Other | P00146606 |
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