Disa, Jane S.

Disa, Jane S. is an individual health care provider with primary practice located at 4110 Warrensville Center Rd Suite 102, Beachwood OH 44122-7024. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Disa, Jane S. can be contacted via phone (216) 491-7036.

Contact Information

Primary practice address
4110 Warrensville Center Rd Suite 102 Beachwood OH 44122-7024
Phone: (216) 491-7036
Fax: (216) 491-7776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34-006034 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34-006034 Ohio

Profile Details

NPI number 1568420552
LBN Legal business name Disa, Jane S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 28th, 2020 - about 4 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 1568420552 NPPES
Other 110201035 RAILROAD MEDICARE
MEDICAID 0967539 RAILROAD MEDICARE

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