Kanoff, Richard Jess
Kanoff, Richard Jess is an individual health care provider with primary practice located at 601 5Th St S , Saint Petersburg FL 33701-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Kanoff, Richard Jess can be contacted via phone (727) 767-8181.Contact Information
Primary practice address
601 5Th St S
Saint Petersburg FL 33701-4804
Phone: (727) 767-8181
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 38218 | Minnesota |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | OS16527 | Florida |
Profile Details
NPI number | 1407893753 |
---|---|
LBN Legal business name | Kanoff, Richard Jess |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Nov 4th, 2021 - about 3 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 | 1407893753 | NPPES |
Minnesota | MEDICAID | 101525700 |
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