DAVID MITCH SUTTER PRSS
NPI 1114565330
Peer Specialist in Stigler, OK
- Individual
- Male
- Peer Specialist
About DAVID SUTTER
This page provides the complete NPI Profile along with additional information for David Sutter, a provider established in Stigler, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1114565330 assigned on December 2019. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1114565330 Verify this NPI
- Provider Name
- DAVID MITCH SUTTER PRSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1505 E MAIN ST STIGLER, OK 74462
- Location Phone
- (918) 967-3368
- Location Fax
- (918) 967-3351
- Mailing Address
- PO BOX 179 STIGLER, OK 74462
- Mailing Phone
- (918) 967-3368
- Mailing Fax
- (918) 967-4582
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-18-2019
- Last Update Date
- 12-18-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- OK
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STIGLER, OK 74462
STIGLER, OK 74462
STIGLER, OK 74462
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114565330, enumerated as an "individual" on December 18, 2019.
The provider is located at 1505 E MAIN ST STIGLER, OK 74462 and the phone number is (918) 967-3368.
Peer Specialist with taxonomy code 175T00000X.
