Emancipator, Steven

Emancipator, Steven is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Emancipator, Steven can be contacted via phone (216) 844-7494.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-7494
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X 34047991 Ohio
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 35047991 Ohio
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 35047991 Ohio

Profile Details

NPI number 1134201825
LBN Legal business name Emancipator, Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 5th, 2008 - about 17 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 1134201825 NPPES
Ohio Other 363507 WELLCARE
Ohio Other 000000528747 WELLCARE
Ohio MEDICAID 0498546 WELLCARE
Ohio Other 750544 WELLCARE
Ohio Other 0639660 WELLCARE
Ohio Other 341794737008 WELLCARE
Ohio Other 000000030170 WELLCARE
Ohio Other 000000224364 WELLCARE
Ohio Other 639660 WELLCARE

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