Bakich, Jason Todd

Bakich, Jason Todd is an individual health care provider with primary practice located at 515 Union Ave Suite 147, Dover OH 44622-3004. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bakich, Jason Todd can be contacted via phone (330) 339-6233.

Contact Information

Primary practice address
515 Union Ave Suite 147 Dover OH 44622-3004
Phone: (330) 339-6233
Fax: (330) 364-8460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003043 Ohio

Profile Details

NPI number 1518945344
LBN Legal business name Bakich, Jason Todd
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 7th, 2011 - about 13 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 1518945344 NPPES
Ohio Other 480034101 RAILROAD MEDICARE
Ohio MEDICAID 2251290 RAILROAD MEDICARE

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