Malkoff, Susan
Malkoff, Susan is an individual health care provider with primary practice located at 1601 Motor Inn Dr Suite #320, Girard OH 44420-2420. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Malkoff, Susan can be contacted via phone (330) 759-0707.Contact Information
Primary practice address
1601 Motor Inn Dr Suite #320
Girard OH 44420-2420
Phone: (330) 759-0707
Fax: (330) 759-9708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-1003 | Ohio |
Profile Details
| NPI number | 1922091727 |
|---|---|
| LBN Legal business name | Malkoff, Susan |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922091727 | NPPES |
| Ohio | Other | 055379 | VALUE OPTIONS |
| Ohio | Other | IP126604 | VALUE OPTIONS |
| Ohio | MEDICAID | 0239361 | VALUE OPTIONS |
| Ohio | Other | 000000115337 | VALUE OPTIONS |
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