Greene, Susan Lee
Greene, Susan Lee is an individual health care provider with primary practice located at 3569 Ridge Rd , Cleveland OH 44102-5443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Greene, Susan Lee can be contacted via phone (216) 281-0872.Contact Information
Primary practice address
3569 Ridge Rd
Cleveland OH 44102-5443
Phone: (216) 281-0872
Fax: (216) 281-9565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NM03522 | Ohio |
Profile Details
NPI number | 1740248269 |
---|---|
LBN Legal business name | Greene, Susan Lee |
Credentials | CNM MSN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Dec 21st, 2011 - about 14 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 | 1740248269 | NPPES |
Ohio | Other | 341300581053 | CARESOURCE |
Ohio | MEDICAID | 0162881 | CARESOURCE |
Ohio | Other | 740493 | CARESOURCE |
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