Adrian, Susan J

Adrian, Susan J is an individual health care provider with primary practice located at 55 Park Ave Suite 230, London OH 43140-1121. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Adrian, Susan J can be contacted via phone (740) 845-7600.

Contact Information

Primary practice address
55 Park Ave Suite 230 London OH 43140-1121
Phone: (740) 845-7600
Fax: (740) 845-7676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN150849 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP00603 Ohio

Profile Details

NPI number 1396704763
LBN Legal business name Adrian, Susan J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 24th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396704763 NPPES
Ohio Other 141867207028 CARESOURCE
Ohio MEDICAID 2119764 CARESOURCE
Ohio Other 000000286657 CARESOURCE
Ohio Other P00354251 CARESOURCE

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