Doctor Name: | SUZANNE NICOLE OLESKO |
NPI Number: | 1679817209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C.1200282-TRNE |
Business Practice Address: | 150 E Market St Warren, OH - 444811141 |
Business Phone Number: | 3303996451 |
Business Fax Number: | 3303946266 |
Mailing Address: | 150 E Market St, WARREN |
State: | OH |
Postal Code: | 444811141 |
Phone Number: | 3303996451 |
Fax Number: | 3303946266 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | C.1200282-TRNE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |