Mahoney Stombaugh, Susan
Mahoney Stombaugh, Susan is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mahoney Stombaugh, Susan can be contacted via phone (419) 479-5605.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP02288 | Ohio |
Profile Details
| NPI number | 1649239484 |
|---|---|
| LBN Legal business name | Mahoney Stombaugh, Susan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | May 31st, 2011 - about 13 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 | 1649239484 | NPPES |
| Ohio | MEDICAID | 2524441 |
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