Provider Demographics
NPI:1447272836
Name:LIN, SUZANNE H (DO)
Entity type:Individual
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First Name:SUZANNE
Middle Name:H
Last Name:LIN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5450 FRANTZ RD
Mailing Address - Street 2:STE 360
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4134
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:460 W CENTRAL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1435
Practice Address - Country:US
Practice Address - Phone:740-615-2700
Practice Address - Fax:740-615-2701
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-01-05
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Provider Licenses
StateLicense IDTaxonomies
OH34.007816207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2325033Medicaid
OH2325033Medicaid
4083731Medicare PIN