Exten, Robert Edwin

Exten, Robert Edwin is an individual health care provider with primary practice located at 803 W Market St Ste 200 , Lima OH 45805-2796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Exten, Robert Edwin can be contacted via phone (419) 222-3737.

Contact Information

Primary practice address
803 W Market St Ste 200 Lima OH 45805-2796
Phone: (419) 222-3737
Fax: (419) 229-3234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35038459E Ohio
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35.038459 Ohio

Profile Details

NPI number 1205832375
LBN Legal business name Exten, Robert Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 21st, 2023 - about last year

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 1205832375 NPPES
Ohio Other 830006430 MEDICARE RAILRROAD
Ohio Other 000000142119 MEDICARE RAILRROAD
Ohio MEDICAID 0519460 MEDICARE RAILRROAD

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