Connolly, Suzanne D
Connolly, Suzanne D is an individual health care provider with primary practice located at 805 Columbia Rd Suite 102, Westlake OH 44145-1487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Connolly, Suzanne D can be contacted via phone (440) 808-1925.Contact Information
Primary practice address
805 Columbia Rd Suite 102
Westlake OH 44145-1487
Phone: (440) 808-1925
Fax: (440) 808-1926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35086814 | Ohio |
Profile Details
| NPI number | 1487604369 |
|---|---|
| LBN Legal business name | Connolly, Suzanne D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | May 14th, 2009 - about 17 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 | 1487604369 | NPPES |
| Ohio | MEDICAID | 2616664 |
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