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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780679092 | NPPES |
Ohio | MEDICAID | 2042408 |
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