Individual
JENNIFER A SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, DEPT NEUROLOGICAL SURGERY, NEUROLOGICAL INSTITUTE, CLEVELAND, OH 44106-1716
(216) 844-3472
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 844-3472
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35099211
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069944
—
OH
01
—
2048816199IL
CARESOURCE
OH
01
—
35.099211
LICENSE
OH
01
—
9710907
AETNA
OH
Enumeration date
10/17/2009
Last updated
01/14/2021
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