Davidenko, Roman

Davidenko, Roman is an sole proprietor health care provider with primary practice located at 500 Gypsy Ln , Youngstown OH 44504-1315. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davidenko, Roman can be contacted via phone (330) 884-3969.

Contact Information

Primary practice address
500 Gypsy Ln Youngstown OH 44504-1315
Phone: (330) 884-3969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-121391 Ohio

Profile Details

NPI number 1366739039
LBN Legal business name Davidenko, Roman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2011
Last updated Jul 16th, 2014 - about 11 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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