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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578656260 NPPES
Ohio MEDICAID 3048240

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