Gorodetskiy, Leonid
Gorodetskiy, Leonid is an sole proprietor health care provider with primary practice located at 4246 Wyncote Rd , South Euclid OH 44121-3116. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Gorodetskiy, Leonid can be contacted via phone (216) 381-3949.Contact Information
Primary practice address
4246 Wyncote Rd
South Euclid OH 44121-3116
Phone: (216) 381-3949
Fax: (216) 291-3238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 186455 | Ohio |
Profile Details
| NPI number | 1881711687 |
|---|---|
| LBN Legal business name | Gorodetskiy, Leonid |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881711687 | NPPES |
| Ohio | MEDICAID | 2500823 |
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