Ustin, Jeffrey S

Ustin, Jeffrey S is an individual health care provider with primary practice located at 11000 Euclid Ave , Cleveland OH 44106-1714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ustin, Jeffrey S can be contacted via phone (216) 844-7874.

Contact Information

Primary practice address
11000 Euclid Ave Cleveland OH 44106-1714
Phone: (216) 844-7874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 0000 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X L-233602 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2603 Massachusetts

Profile Details

NPI number 1558552679
LBN Legal business name Ustin, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 11th, 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 1558552679 NPPES
Massachusetts MEDICAID 110078676/A

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