Gerdes, Robert J.

Gerdes, Robert J. is an sole proprietor health care provider with primary practice located at 30 N Main St , Hubbard OH 44425-1653. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gerdes, Robert J. can be contacted via phone (330) 534-2421.

Contact Information

Primary practice address
30 N Main St Hubbard OH 44425-1653
Phone: (330) 534-2421
Fax: (330) 534-1960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3735 T451 Ohio

Profile Details

NPI number 1710926449
LBN Legal business name Gerdes, Robert J.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jan 7th, 2013 - about 11 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 1710926449 NPPES
Ohio MEDICAID 0574187

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