Klenotic, Eveline Rusdianto

Klenotic, Eveline Rusdianto is an individual health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Klenotic, Eveline Rusdianto can be contacted via phone (330) 344-6000.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Phone: (330) 344-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-15091 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.011721 Ohio

Profile Details

NPI number 1801185541
LBN Legal business name Klenotic, Eveline Rusdianto
Credentials DO, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Jul 19th, 2023 - about 2 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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