Baldoza, Roger Lota
Baldoza, Roger Lota is an individual health care provider with primary practice located at 511 South Abbe Road Suite C, Elyria OH 44035-6301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baldoza, Roger Lota can be contacted via phone (440) 366-6640.Contact Information
Primary practice address
511 South Abbe Road Suite C
Elyria OH 44035-6301
Phone: (440) 366-6640
Fax: (440) 366-5130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35033009 | Ohio |
Profile Details
| NPI number | 1356313324 |
|---|---|
| LBN Legal business name | Baldoza, Roger Lota |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356313324 | NPPES |
| Ohio | Other | 100340 | KAISER |
| Ohio | Other | 000000127876 | KAISER |
| Ohio | Other | 53158 | KAISER |
| Ohio | MEDICAID | 0169919 | KAISER |
| Ohio | Other | 04931010 | KAISER |
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