Fanton, Peter

Fanton, Peter is an individual health care provider with primary practice located at 221 W 8Th St , Lorain OH 44052-1817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fanton, Peter can be contacted via phone (440) 245-4480.

Contact Information

Primary practice address
221 W 8Th St Lorain OH 44052-1817
Phone: (440) 245-4480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34002559 Ohio

Profile Details

NPI number 1386636470
LBN Legal business name Fanton, Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - 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 1386636470 NPPES
Ohio MEDICAID 530456

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