Ustin, Jeffrey S
Ustin, Jeffrey S is an individual health care provider with primary practice located at 11000 Euclid Ave , Cleveland OH 44106-1714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ustin, Jeffrey S can be contacted via phone (216) 844-7874.Contact Information
Primary practice address
11000 Euclid Ave
Cleveland OH 44106-1714
Phone: (216) 844-7874
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 0000 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | L-233602 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2603 | Massachusetts |
Profile Details
NPI number | 1558552679 |
---|---|
LBN Legal business name | Ustin, Jeffrey S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2007 |
Last updated | Jan 11th, 2021 - 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 | 1558552679 | NPPES |
Massachusetts | MEDICAID | 110078676/A |
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