National Provider Identifier Database

CLEVELAND STATE UNIVERSITY
Student Health


Contact Information

CLEVELAND STATE UNIVERSITY
2121 EUCLID AVE
CLEVELAND, OH44115-2214
Phone: 216-687-5287
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for CLEVELAND STATE UNIVERSITY

NPI Number 1164704995
Legal business name
LBN
CLEVELAND STATE UNIVERSITY
Authorized official CHRIS LACSAMANA - (HEAD ATHLETICS TRAINER)
Entity Organization
Organization subpart No
Enumeration date 09/19/2011
Last updated 09/19/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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