Sandstrom, Susan Katharine
Sandstrom, Susan Katharine is an individual health care provider with primary practice located at 11100 Euclid Ave Radiation Oncology, Cleveland OH 44106-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Sandstrom, Susan Katharine can be contacted via phone (216) 844-2511.Contact Information
Primary practice address
11100 Euclid Ave Radiation Oncology
Cleveland OH 44106-1716
Phone: (216) 844-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | NP-06946 | Ohio |
Profile Details
| NPI number | 1578656260 |
|---|---|
| LBN Legal business name | Sandstrom, Susan Katharine |
| Credentials | MSN, APRN,BC, AOCN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Nov 29th, 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 | 1578656260 | NPPES |
| Ohio | MEDICAID | 3048240 |
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