Sutton, Fredrick
Sutton, Fredrick is an sole proprietor health care provider with primary practice located at 15 Beech Branch Ct , Irmo SC 29063-8046. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sutton, Fredrick can be contacted via phone (803) 920-7744.Contact Information
Primary practice address
15 Beech Branch Ct
Irmo SC 29063-8046
Phone: (803) 920-7744
Fax: (803) 407-2957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1043389844 |
|---|---|
| LBN Legal business name | Sutton, Fredrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043389844 | NPPES |
| South Carolina | MEDICAID | EX5221 |
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