Ivan, Todd Michael

Ivan, Todd Michael is an individual health care provider with primary practice located at 444 N Main St 6Th Floor, Akron OH 44310-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ivan, Todd Michael can be contacted via phone (330) 379-8190.

Contact Information

Primary practice address
444 N Main St 6Th Floor Akron OH 44310-3110
Fax: (330) 379-8191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-063976 Ohio

Profile Details

NPI number 1598742744
LBN Legal business name Ivan, Todd Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 23rd, 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 1598742744 NPPES
Ohio MEDICAID 2247956

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