Braley, Susan E.

Braley, Susan E. is an individual health care provider with primary practice located at 234 Goodman St Ml 0761, Cincinnati OH 45267-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Braley, Susan E. can be contacted via phone (513) 584-4391.

Contact Information

Primary practice address
234 Goodman St Ml 0761 Cincinnati OH 45267-1000
Fax: (513) 584-0431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-06-2155 Ohio

Profile Details

NPI number 1487643037
LBN Legal business name Braley, Susan E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 12th, 2018 - about 8 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 1487643037 NPPES
Indiana MEDICAID 200039480A
Indiana MEDICAID 0843798
Indiana MEDICAID 64868219
Indiana Other 1620954
Indiana Other 655258
Indiana Other 000000013880

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