Porter, Susan Elizabeth

Porter, Susan Elizabeth is an individual health care provider with primary practice located at 6777 Engle Rd Ste N, Middleburg Heights OH 44130-7941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Porter, Susan Elizabeth can be contacted via phone (440) 627-2040.

Contact Information

Primary practice address
6777 Engle Rd Ste N Middleburg Heights OH 44130-7941
Phone: (440) 627-2040
Fax: (770) 237-1627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35081245 Ohio

Profile Details

NPI number 1508824053
LBN Legal business name Porter, Susan Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508824053 NPPES
Ohio MEDICAID 2576798

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