Stagno, Susan

Stagno, Susan is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Stagno, Susan can be contacted via phone (216) 844-2400.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106
Phone: (216) 844-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35048038S Ohio
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 35-048038 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-04-8038 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35048038S Ohio

Profile Details

NPI number 1790709947
LBN Legal business name Stagno, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 11th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790709947 NPPES
Ohio MEDICAID 0594192
Ohio Other P00469476
Ohio Other 000000365167

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