Boltuch, Robert

Boltuch, Robert is an sole proprietor health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boltuch, Robert can be contacted via phone (440) 423-1356.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (440) 423-1356
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35038688 Ohio

Profile Details

NPI number 1588657779
LBN Legal business name Boltuch, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Jun 4th, 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 1588657779 NPPES
Ohio Other 0304914 BCMH
Ohio Other 4230665 BCMH
Ohio Other 735110 BCMH
Ohio Other 000000516213 BCMH
Ohio Other 000000221019 BCMH
Ohio Other P00405346 BCMH
Ohio MEDICAID 0312852 BCMH
Ohio Other 363371 BCMH

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