Eastabrooks, Susan

Eastabrooks, Susan is an individual health care provider with primary practice located at 9485 Mentor Ave Ste 210 Primehealth, Mentor OH 44060-8723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Eastabrooks, Susan can be contacted via phone (440) 205-5833.

Contact Information

Primary practice address
9485 Mentor Ave Ste 210 Primehealth Mentor OH 44060-8723
Phone: (440) 205-5833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-09641 Ohio

Profile Details

NPI number 1396926317
LBN Legal business name Eastabrooks, Susan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Sep 18th, 2015 - about 11 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 1396926317 NPPES
Ohio MEDICAID 2797853
Ohio Other P00626775

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