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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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