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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1528059391 NPPES
Ohio Other 1528059391 NPI
Ohio MEDICAID 2012842 NPI

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