Provider Demographics
NPI:1760771869
Name:OSTEOPATHIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:OSTEOPATHIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SUTTERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:636-272-0008
Mailing Address - Street 1:8069 MEXICO RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1148
Mailing Address - Country:US
Mailing Address - Phone:636-272-0008
Mailing Address - Fax:636-272-8080
Practice Address - Street 1:8069 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1148
Practice Address - Country:US
Practice Address - Phone:636-272-0008
Practice Address - Fax:636-272-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002015981207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1114964574OtherNPI # INDIVIDUAL