Berner, Susan Elaine

Berner, Susan Elaine is an sole proprietor health care provider with primary practice located at 1110 Oakwood Ave , Oakwood OH 45419-2911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Berner, Susan Elaine can be contacted via phone (937) 885-7163.

Contact Information

Primary practice address
1110 Oakwood Ave Oakwood OH 45419-2911
Phone: (937) 885-7163
Fax: (937) 567-0670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35082769 Ohio

Profile Details

NPI number 1952384505
LBN Legal business name Berner, Susan Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Jul 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952384505 NPPES
Ohio MEDICAID 2428859

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