Sutter, Connie D

Sutter, Connie D is an individual health care provider with primary practice located at 6701 Rockside Rd Suite 330, Independence OH 44131-2358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Sutter, Connie D can be contacted via phone (216) 524-4009.

Contact Information

Primary practice address
6701 Rockside Rd Suite 330 Independence OH 44131-2358
Fax: (216) 524-7933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35058075 Ohio

Profile Details

NPI number 1164487534
LBN Legal business name Sutter, Connie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 9th, 2007 - about 19 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 1164487534 NPPES
Ohio MEDICAID 0736127
Ohio Other 000000139990
Ohio Other T58075

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