Birnbaum, Gary

Birnbaum, Gary is an individual health care provider with primary practice located at 35040 Chardon Rd Suite G200, Willoughby Hills OH 44094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Birnbaum, Gary can be contacted via phone (440) 953-9014.

Contact Information

Primary practice address
35040 Chardon Rd Suite G200 Willoughby Hills OH 44094
Fax: (440) 953-9173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47631 Ohio

Profile Details

NPI number 1689741886
LBN Legal business name Birnbaum, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 24th, 2011 - about 14 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 1689741886 NPPES
Ohio MEDICAID 0490044

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