Jain, Sushil Kumar
Jain, Sushil Kumar is an individual health care provider with primary practice located at 5041 Victor Dr Unit C, Medina OH 44256-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jain, Sushil Kumar can be contacted via phone (330) 723-3338.Contact Information
Primary practice address
5041 Victor Dr Unit C
Medina OH 44256-2666
Phone: (330) 723-3338
Fax: (330) 722-5439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35067447 | Ohio |
Profile Details
| NPI number | 1538147152 |
|---|---|
| LBN Legal business name | Jain, Sushil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Mar 21st, 2014 - about 11 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 | 1538147152 | NPPES |
| Ohio | Other | 000000139189 | ANTHEM BCBS |
| Ohio | Other | 128219100 | ANTHEM BCBS |
| Ohio | MEDICAID | 913629100 | ANTHEM BCBS |
| Ohio | MEDICAID | 0145499 | ANTHEM BCBS |
| Ohio | Other | 509460001 | ANTHEM BCBS |
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