Chismar, Steven A

Chismar, Steven A is an sole proprietor health care provider with primary practice located at 200 Medical Park Drive A2 , Dover OH 44622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chismar, Steven A can be contacted via phone (330) 343-1200.

Contact Information

Primary practice address
200 Medical Park Drive A2 Dover OH 44622
Fax: (330) 343-1201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-07-9203 Ohio

Profile Details

NPI number 1790775047
LBN Legal business name Chismar, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Mar 24th, 2020 - about 4 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 1790775047 NPPES
Ohio MEDICAID 2242577

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