Casanova, Jose M

Casanova, Jose M is an individual health care provider with primary practice located at 4105 Holiday St Nw , Canton OH 44718-2531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Casanova, Jose M can be contacted via phone (330) 494-2097.

Contact Information

Primary practice address
4105 Holiday St Nw Canton OH 44718-2531
Phone: (330) 494-2097
Fax: (330) 494-9750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35068865 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 35-068865 Ohio

Profile Details

NPI number 1851325542
LBN Legal business name Casanova, Jose M
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 6th, 2007 - about 18 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 1851325542 NPPES
Ohio MEDICAID 0234580

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