Gaydos, Edward John

Gaydos, Edward John is an individual health care provider with primary practice located at 6559 Wilson Mills Rd Bldg D Suite 101, Mayfield Village OH 44143-6402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gaydos, Edward John can be contacted via phone (440) 473-0010.

Contact Information

Primary practice address
6559 Wilson Mills Rd Bldg D Suite 101 Mayfield Village OH 44143-6402
Phone: (440) 473-0010
Fax: (440) 460-2812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34004907 Ohio

Profile Details

NPI number 1164423331
LBN Legal business name Gaydos, Edward John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 30th, 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 1164423331 NPPES
Ohio Other 000000025802 UNICARE LIFE AND HEALTH
Ohio MEDICAID 0812213 UNICARE LIFE AND HEALTH
Ohio Other K04907 UNICARE LIFE AND HEALTH
Ohio Other 386527 UNICARE LIFE AND HEALTH
Ohio Other 000000025802 UNICARE LIFE AND HEALTH

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