Fanaroff, Jonathan M

Fanaroff, Jonathan M is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Fanaroff, Jonathan M can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35-081809 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35-081809 Ohio
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 35-081809 Ohio

Profile Details

NPI number 1154349074
LBN Legal business name Fanaroff, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 5th, 2011 - about 13 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 1154349074 NPPES
Ohio Other 000000525952 ANTHEM
Ohio Other 733798 ANTHEM
Ohio Other 000000221320 ANTHEM
Ohio Other 1017390000001 ANTHEM
Ohio MEDICAID 2372105 ANTHEM
Ohio Other 7914428 ANTHEM
Ohio Other 363518 ANTHEM
Ohio Other 000000257656 ANTHEM
Ohio Other 2372105 ANTHEM

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