Debrosse, Suzanne Denise
Debrosse, Suzanne Denise is an individual health care provider with primary practice located at 11100 Euclid Ave Lakeside 1500, Cleveland OH 44106-1716. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Debrosse, Suzanne Denise can be contacted via phone (216) 844-3936.Contact Information
Primary practice address
11100 Euclid Ave Lakeside 1500
Cleveland OH 44106-1716
Phone: (216) 844-3936
Fax: (216) 844-7497
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-094127 | Ohio |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 35.094127 | Ohio |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 35.094127 | Ohio |
Profile Details
NPI number | 1720293160 |
---|---|
LBN Legal business name | Debrosse, Suzanne Denise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2007 |
Last updated | Dec 9th, 2020 - 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 | 1720293160 | NPPES |
Other | 000000725150 | ANTHEM | |
Other | 35.094127 | ANTHEM | |
Other | 9648753 | ANTHEM | |
Other | 609409 | ANTHEM | |
MEDICAID | 0056505 | ANTHEM | |
Other | 2048816199ER | ANTHEM |
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