Wiersma, Susan R
Wiersma, Susan R is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Wiersma, Susan R can be contacted via phone (216) 844-7700.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 35-051050 | Ohio |
Profile Details
| NPI number | 1356362776 |
|---|---|
| LBN Legal business name | Wiersma, Susan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 1st, 2008 - about 16 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 | 1356362776 | NPPES |
| Ohio | Other | 742534 | BUCKEYE |
| Ohio | Other | 200206560A | BUCKEYE |
| Ohio | MEDICAID | 2056126 | BUCKEYE |
| Ohio | Other | 364131 | BUCKEYE |
| Ohio | Other | 000000221140 | BUCKEYE |
| Ohio | Other | 000000027183 | BUCKEYE |
| Ohio | Other | 000000526169 | BUCKEYE |
| Ohio | Other | 2056126 | BUCKEYE |
| Ohio | Other | 2093513 | BUCKEYE |
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