Anstandig, Jack

Anstandig, Jack is an sole proprietor health care provider with primary practice located at 34900 Chardon Road Suite 201, Willoughby Hills OH 44094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Anstandig, Jack can be contacted via phone (440) 269-1550.

Contact Information

Primary practice address
34900 Chardon Road Suite 201 Willoughby Hills OH 44094
Fax: (440) 269-1750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-052146 Ohio

Profile Details

NPI number 1558456426
LBN Legal business name Anstandig, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558456426 NPPES
Ohio MEDICAID 0819994

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