Goranovich, Justin Tyme

Goranovich, Justin Tyme is an individual health care provider with primary practice located at 500 Thomas Ln Ste 2E , Columbus OH 43214-1419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Goranovich, Justin Tyme can be contacted via phone (614) 533-5500.

Contact Information

Primary practice address
500 Thomas Ln Ste 2E Columbus OH 43214-1419
Fax: (614) 533-0103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35139987 Ohio

Profile Details

NPI number 1285054999
LBN Legal business name Goranovich, Justin Tyme
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated Feb 14th, 2024 - about last year

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 1285054999 NPPES
Ohio MEDICAID 0415600

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