Sustersic, Vincent P
Sustersic, Vincent P is an individual health care provider with primary practice located at 5901 E Royalton Rd Ste 2600 , Broadview Hts OH 44147-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sustersic, Vincent P can be contacted via phone (216) 524-8883.Contact Information
Primary practice address
5901 E Royalton Rd Ste 2600
Broadview Hts OH 44147-3532
Phone: (216) 524-8883
Fax: (216) 524-2125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34003327 | Ohio |
Profile Details
| NPI number | 1851329825 |
|---|---|
| LBN Legal business name | Sustersic, Vincent P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 15th, 2021 - about 3 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 | 1851329825 | NPPES |
| Ohio | MEDICAID | 5058249 |
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