Axonovitz, Robert G

Axonovitz, Robert G is an individual health care provider with primary practice located at 7640 Sylvania Ave I, Sylvania OH 43560-9729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Axonovitz, Robert G can be contacted via phone (419) 517-4000.

Contact Information

Primary practice address
7640 Sylvania Ave I Sylvania OH 43560-9729
Phone: (419) 517-4000
Fax: (419) 517-4001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35048851A Ohio

Profile Details

NPI number 1730180407
LBN Legal business name Axonovitz, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Oct 16th, 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 1730180407 NPPES
Ohio MEDICAID 0540543
Ohio Other 000000130367
Ohio Other 4119606
Ohio Other 795718
Ohio Other 01059

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