Dade, Suzanne

Dade, Suzanne is an individual health care provider with primary practice located at 5783 Wooster Pike , Medina OH 44256-8816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dade, Suzanne can be contacted via phone (330) 725-0569.

Contact Information

Primary practice address
5783 Wooster Pike Medina OH 44256-8816
Phone: (330) 725-0569
Fax: (330) 662-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.01522 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN198011 Ohio

Profile Details

NPI number 1780679092
LBN Legal business name Dade, Suzanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 26th, 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 1780679092 NPPES
Ohio MEDICAID 2042408

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