Dornan, Susan Elizabeth
Dornan, Susan Elizabeth is an individual health care provider with primary practice located at 29160 Center Ridge Rd Suite M, Westlake OH 44145-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dornan, Susan Elizabeth can be contacted via phone (440) 835-6996.Contact Information
Primary practice address
29160 Center Ridge Rd Suite M
Westlake OH 44145-5225
Phone: (440) 835-6996
Fax: (440) 808-9738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NM07751 | Ohio |
Profile Details
| NPI number | 1215986955 |
|---|---|
| LBN Legal business name | Dornan, Susan Elizabeth |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jan 4th, 2012 - about 14 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 | 1215986955 | NPPES |
| Ohio | MEDICAID | 2601438 | |
| Ohio | Other | 341542312126 | |
| Ohio | Other | 000000377270 | |
| Ohio | Other | 350112 |
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