Baddour, Christian J

Baddour, Christian J is an individual health care provider with primary practice located at 1456 Park Ave W Ste M , Mansfield OH 44906-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baddour, Christian J can be contacted via phone (419) 529-1471.

Contact Information

Primary practice address
1456 Park Ave W Ste M Mansfield OH 44906-2700
Phone: (419) 529-1471
Fax: (419) 529-1473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34006375 Ohio

Profile Details

NPI number 1053475228
LBN Legal business name Baddour, Christian J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 9th, 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 1053475228 NPPES
Ohio Other 000000162607 ANTHEM
Ohio MEDICAID 2015036 ANTHEM

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