Dvorak, Justin Edward

Dvorak, Justin Edward is an sole proprietor health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Dvorak, Justin Edward can be contacted via phone (216) 778-1639.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-1639
Fax: (216) 778-2338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.139898 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35.139898 Ohio

Profile Details

NPI number 1558704130
LBN Legal business name Dvorak, Justin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2013
Last updated Sep 9th, 2020 - about 5 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 1558704130 NPPES
Ohio MEDICAID 0411752

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