Kodiyan Ouseph, Sherly

Kodiyan Ouseph, Sherly is an individual health care provider with primary practice located at 5592 Broadview Rd Ste 103 , Parma OH 44134-1677. 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. Kodiyan Ouseph, Sherly can be contacted via phone (216) 741-5200.

Contact Information

Primary practice address
5592 Broadview Rd Ste 103 Parma OH 44134-1677
Phone: (216) 741-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AG0217016 Ohio

Profile Details

NPI number 1780100040
LBN Legal business name Kodiyan Ouseph, Sherly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2017
Last updated Aug 18th, 2017 - about 9 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 1780100040 NPPES
Ohio MEDICAID 02170168
Ohio Other AG0217016

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