Provider Demographics
NPI:1831914506
Name:SUTER, STEPHEN PARKER
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:PARKER
Last Name:SUTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1135
Mailing Address - Country:US
Mailing Address - Phone:740-861-8356
Mailing Address - Fax:
Practice Address - Street 1:114 2ND AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1135
Practice Address - Country:US
Practice Address - Phone:740-861-8356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty