Individual
SUZANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35 090896
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35 090896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960270
—
IN
05
—
2997100
—
OH
05
—
7100085780
—
KY
Enumeration date
04/12/2007
Last updated
12/26/2024
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