Banozic, Richard M

Banozic, Richard M is an individual health care provider with primary practice located at 6847 N. Chestnut Street Suite 310, Ravenna OH 44266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Banozic, Richard M can be contacted via phone (330) 296-2819.

Contact Information

Primary practice address
6847 N. Chestnut Street Suite 310 Ravenna OH 44266
Phone: (330) 296-2819
Fax: (330) 297-9503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35067230 Ohio

Profile Details

NPI number 1487648408
LBN Legal business name Banozic, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 22nd, 2014 - about 10 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 1487648408 NPPES
Ohio MEDICAID 0985939
Ohio Other 1770896268
Ohio Other 2551671
Ohio Other 9338635
Ohio Other 1841239274

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