Jesionek, Paul

Jesionek, Paul is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Jesionek, Paul can be contacted via phone (330) 297-2303.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Phone: (330) 297-2303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35-061243 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35061243 Ohio

Profile Details

NPI number 1689685505
LBN Legal business name Jesionek, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 10th, 2009 - about 15 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 1689685505 NPPES
Ohio Other 000000213023 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 0950823 ANTHEM PROVIDER NUMBER

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