Sous, Clara
Sous, Clara is an individual health care provider with primary practice located at 9601 Chester Ave , Cleveland OH 44106-1666. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Sous, Clara can be contacted via phone (216) 368-2000.Contact Information
Primary practice address
9601 Chester Ave
Cleveland OH 44106-1666
Phone: (216) 368-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 004533 | Ohio |
Profile Details
| NPI number | 1063147528 |
|---|---|
| LBN Legal business name | Sous, Clara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2022 |
| Last updated | Jul 19th, 2022 - about 2 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 | 1063147528 | NPPES |
| Ohio | MEDICAID | 004533 |
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