Mr Corwin Sutherin, is a
Occupational Therapist based in Shelley, Idaho. Mr Corwin Sutherin is licensed to practice in Idaho (license number OT-253) and his current practice location is
1452 N 1180 E, Shelley, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 282-2590.
NPI number for Mr Corwin Sutherin is 1104035120 and his current mailing address is 1452 N 1180 E, Shelley, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104035120.
Healthcare Provider's Profile
| Full Name | Mr Corwin Sutherin |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1452 N 1180 E, Shelley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104035120
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Corwin Sutherin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104035120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT-253 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Corwin Sutherin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Corwin Sutherin,
1452 N 1180 E,
Shelley, ID 83274-5100
Ph: () - | Mr Corwin Sutherin,
1452 N 1180 E,
Shelley, ID 83274-5100
Ph: (208) 282-2590 |
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