Ivanov, Susie Martha

Ivanov, Susie Martha is an sole proprietor health care provider with primary practice located at 427 Oregon St Apt 7 , Cincinnati OH 45202-1634. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ivanov, Susie Martha can be contacted via phone (513) 807-5707.

Contact Information

Primary practice address
427 Oregon St Apt 7 Cincinnati OH 45202-1634
Phone: (513) 807-5707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.004262 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.004262 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.004262 Ohio

Profile Details

NPI number 1750769253
LBN Legal business name Ivanov, Susie Martha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2015
Last updated May 16th, 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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