Supan, Thomas J.

Supan, Thomas J. is an individual health care provider with primary practice located at 12300 Mccracken Rd , Garfield Heights OH 44125-2914. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Supan, Thomas J. can be contacted via phone (216) 587-8350.

Contact Information

Primary practice address
12300 Mccracken Rd Garfield Heights OH 44125-2914
Phone: (216) 587-8350
Fax: (216) 587-8646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E-988 Ohio

Profile Details

NPI number 1346260072
LBN Legal business name Supan, Thomas J.
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 14th, 2008 - about 18 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 1346260072 NPPES
Ohio Other 741000 BUCKEYE HEALTH PLAN
Ohio Other 7745428 BUCKEYE HEALTH PLAN
Ohio Other 353306 BUCKEYE HEALTH PLAN
Ohio Other T00988 BUCKEYE HEALTH PLAN
Ohio Other 000000216098 BUCKEYE HEALTH PLAN
Ohio Other 000000216098 BUCKEYE HEALTH PLAN

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