Soto, Susan G

Soto, Susan G is an individual health care provider with primary practice located at 18901 Lake Shore Blvd , Euclid OH 44119-1078. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Soto, Susan G can be contacted via phone (216) 531-9000.

Contact Information

Primary practice address
18901 Lake Shore Blvd Euclid OH 44119-1078
Phone: (216) 531-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35-047952 Ohio

Profile Details

NPI number 1326037078
LBN Legal business name Soto, Susan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
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 1326037078 NPPES
Ohio Other 000000190381 ANTHEM
Ohio Other P00058199 ANTHEM
Ohio MEDICAID 0701771 ANTHEM

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