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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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