Provider Demographics
NPI:1497186514
Name:SUTTON HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SUTTON HEALTH SERVICES LLC
Other - Org Name:DBA STAMBAUGH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-967-2243
Mailing Address - Street 1:24 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-1126
Mailing Address - Country:US
Mailing Address - Phone:740-967-2243
Mailing Address - Fax:740-967-2241
Practice Address - Street 1:24 MEADOW LN
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1126
Practice Address - Country:US
Practice Address - Phone:740-967-2243
Practice Address - Fax:740-967-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-01
Last Update Date:2013-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty