Provider Demographics
NPI:1770708505
Name:SUTO ENTERPRISES, INC
Entity type:Organization
Organization Name:SUTO ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-426-3107
Mailing Address - Street 1:610 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:OR
Mailing Address - Zip Code:97828-1427
Mailing Address - Country:US
Mailing Address - Phone:541-426-3107
Mailing Address - Fax:541-426-6437
Practice Address - Street 1:610 W NORTH ST
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:OR
Practice Address - Zip Code:97828-1427
Practice Address - Country:US
Practice Address - Phone:541-426-3107
Practice Address - Fax:541-426-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3298 OR111NR0400X
OR3299 OR111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500621982Medicaid