Soto, Susan G
Soto, Susan G is an individual health care provider with primary practice located at 18901 Lake Shore Blvd , Euclid OH 44119-1078. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Soto, Susan G can be contacted via phone (216) 531-9000.Contact Information
Primary practice address
18901 Lake Shore Blvd
Euclid OH 44119-1078
Phone: (216) 531-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35-047952 | Ohio |
Profile Details
| NPI number | 1326037078 |
|---|---|
| LBN Legal business name | Soto, Susan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326037078 | NPPES |
| Ohio | Other | 000000190381 | ANTHEM |
| Ohio | Other | P00058199 | ANTHEM |
| Ohio | MEDICAID | 0701771 | ANTHEM |
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