Suico, Vivian R
Suico, Vivian R is an sole proprietor health care provider with primary practice located at 3745 Grove Ave , Lorain OH 44055-2734. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Suico, Vivian R can be contacted via phone (440) 240-1655.Contact Information
Primary practice address
3745 Grove Ave
Lorain OH 44055-2734
Phone: (440) 240-1655
Fax: (440) 245-1218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35046291 | Ohio |
Profile Details
| NPI number | 1447255625 |
|---|---|
| LBN Legal business name | Suico, Vivian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 2nd, 2010 - about 15 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 | 1447255625 | NPPES |
| Ohio | MEDICAID | 0477532 |
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