National Provider Identifier Database

CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES
Student Health


Contact Information

CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES
2121 EUCLID AVE
UN 263
CLEVELAND, OH44115-2214
Phone: 216-687-3649
Fax: 216-687-9319
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES

NPI Number 1023090974
Legal business name
LBN
CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES
Authorized official EILEEN GUTTMAN - (SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 11/16/2005
Last updated 08/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2329019
  • OH Other: 36D0874476 CLIA
  • OH Other: 02-0251800 PHARM LICENSE #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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