Banozic, Jaimie N.

Banozic, Jaimie N. is an individual health care provider with primary practice located at 2500 E 22Nd St , Cleveland OH 44115-3204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Banozic, Jaimie N. can be contacted via phone (216) 931-1407.

Contact Information

Primary practice address
2500 E 22Nd St Cleveland OH 44115-3204
Phone: (216) 931-1407
Fax: (216) 931-1414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP08108 Ohio

Profile Details

NPI number 1760413041
LBN Legal business name Banozic, Jaimie N.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 12th, 2008 - 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 1760413041 NPPES
Ohio MEDICAID 2544536

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