Lubago, Susan Marie
Lubago, Susan Marie is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lubago, Susan Marie can be contacted via phone (614) 722-2000.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | COA.13816-NP | Ohio |
Profile Details
| NPI number | 1124372628 |
|---|---|
| LBN Legal business name | Lubago, Susan Marie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2012 |
| Last updated | Feb 24th, 2022 - about 4 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 | 1124372628 | NPPES |
| Ohio | MEDICAID | 2246500 |
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