Lopez, Susan O

Lopez, Susan O is an sole proprietor health care provider with primary practice located at 1730 W 25Th St , Cleveland OH 44113-3108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lopez, Susan O can be contacted via phone (216) 696-4300.

Contact Information

Primary practice address
1730 W 25Th St Cleveland OH 44113-3108
Phone: (216) 696-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-07314 Ohio

Profile Details

NPI number 1437125549
LBN Legal business name Lopez, Susan O
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Sep 9th, 2015 - about 9 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 1437125549 NPPES
Ohio MEDICAID 2525422
Ohio Other P00205905
Ohio Other 000000353974

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