Super, Dennis M

Super, Dennis M is an individual health care provider with primary practice located at 2500 Metrohealth Dr Mhmc-Pediatrics, Cleveland OH 44109-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Super, Dennis M can be contacted via phone (216) 778-5633.

Contact Information

Primary practice address
2500 Metrohealth Dr Mhmc-Pediatrics Cleveland OH 44109-1900
Phone: (216) 778-5633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35049067 Ohio

Profile Details

NPI number 1780618199
LBN Legal business name Super, Dennis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780618199 NPPES
Ohio MEDICAID 0545593

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