Kloth, Susan L

Kloth, Susan L is an individual health care provider with primary practice located at 9000 N Main St Suite 232, Dayton OH 45415-1180. 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. Kloth, Susan L can be contacted via phone (937) 277-8988.

Contact Information

Primary practice address
9000 N Main St Suite 232 Dayton OH 45415-1180
Phone: (937) 277-8988
Fax: (937) 277-9035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA.05496-NM Ohio

Profile Details

NPI number 1609871466
LBN Legal business name Kloth, Susan L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 16th, 2015 - about 10 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 1609871466 NPPES
Ohio MEDICAID 2199580

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