Miljkovic-Goodrich, Susan Michelle

Miljkovic-Goodrich, Susan Michelle is an individual health care provider with primary practice located at 970 E Washington St Suite 6-C, Medina OH 44256-3332. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Miljkovic-Goodrich, Susan Michelle can be contacted via phone (330) 722-3083.

Contact Information

Primary practice address
970 E Washington St Suite 6-C Medina OH 44256-3332
Phone: (330) 722-3083
Fax: (330) 725-5043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 35-082575M Ohio

Profile Details

NPI number 1922087790
LBN Legal business name Miljkovic-Goodrich, Susan Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1922087790 NPPES
Ohio MEDICAID 2500163

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