Greene, Susan Lee

Greene, Susan Lee is an individual health care provider with primary practice located at 3569 Ridge Rd , Cleveland OH 44102-5443. 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. Greene, Susan Lee can be contacted via phone (216) 281-0872.

Contact Information

Primary practice address
3569 Ridge Rd Cleveland OH 44102-5443
Phone: (216) 281-0872
Fax: (216) 281-9565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM03522 Ohio

Profile Details

NPI number 1740248269
LBN Legal business name Greene, Susan Lee
Credentials CNM MSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 21st, 2011 - about 15 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 1740248269 NPPES
Ohio Other 341300581053 CARESOURCE
Ohio MEDICAID 0162881 CARESOURCE
Ohio Other 740493 CARESOURCE

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