Suppan, Jason Norbert
Suppan, Jason Norbert is an sole proprietor health care provider with primary practice located at 1710 Paradise Rd , Orrville OH 44667-9418. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Suppan, Jason Norbert can be contacted via phone (330) 682-6070.Contact Information
Primary practice address
1710 Paradise Rd
Orrville OH 44667-9418
Phone: (330) 682-6070
Fax: (330) 684-2822
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36-00-3017-S | Ohio |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36-00-3017-S | Ohio |
Profile Details
NPI number | 1528059391 |
---|---|
LBN Legal business name | Suppan, Jason Norbert |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2005 |
Last updated | Aug 26th, 2020 - about 4 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 | 1528059391 | NPPES |
Ohio | Other | 1528059391 | NPI |
Ohio | MEDICAID | 2012842 | NPI |
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