Suchland, Bruce A
Suchland, Bruce A is an individual health care provider with primary practice located at 640 E Main St , Saint Henry OH 45883-9701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Suchland, Bruce A can be contacted via phone (419) 763-4178.Contact Information
Primary practice address
640 E Main St
Saint Henry OH 45883-9701
Phone: (419) 763-4178
Fax: (419) 763-4184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.13320-NP | Ohio |
Profile Details
| NPI number | 1487913422 |
|---|---|
| LBN Legal business name | Suchland, Bruce A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Mar 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487913422 | NPPES |
| Ohio | MEDICAID | 0064996 |
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