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
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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