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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205832375 | NPPES |
| Ohio | Other | 830006430 | MEDICARE RAILRROAD |
| Ohio | Other | 000000142119 | MEDICARE RAILRROAD |
| Ohio | MEDICAID | 0519460 | MEDICARE RAILRROAD |
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