Sundback, Susan M

Sundback, Susan M is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sundback, Susan M can be contacted via phone (216) 778-7800.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X NS03593 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.07286-NP Ohio

Profile Details

NPI number 1750308326
LBN Legal business name Sundback, Susan M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 27th, 2021 - about 5 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 1750308326 NPPES
Ohio MEDICAID 2378127

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