Delatore, Jason Richard

Delatore, Jason Richard is an individual health care provider with primary practice located at 540 Parmalee Ave 410, Youngstown OH 44510-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Delatore, Jason Richard can be contacted via phone (330) 747-1106.

Contact Information

Primary practice address
540 Parmalee Ave 410 Youngstown OH 44510-1716
Phone: (330) 747-1106
Fax: (330) 747-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.082322 Ohio

Profile Details

NPI number 1649247529
LBN Legal business name Delatore, Jason Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 26th, 2016 - about 8 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 1649247529 NPPES
Pennsylvania MEDICAID 1028546510001
Pennsylvania Other 4108072
Pennsylvania MEDICAID 2414211

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