Kontak, Jeffery Reynold
Kontak, Jeffery Reynold is an individual health care provider with primary practice located at 1740 Cleveland Rd , Wooster OH 44691-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kontak, Jeffery Reynold can be contacted via phone (330) 287-4918.Contact Information
Primary practice address
1740 Cleveland Rd
Wooster OH 44691-2204
Phone: (330) 287-4918
Fax: (330) 287-4802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35055953K | Ohio |
Profile Details
| NPI number | 1629069133 |
|---|---|
| LBN Legal business name | Kontak, Jeffery Reynold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Aug 18th, 2011 - about 13 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 | 1629069133 | NPPES |
| Ohio | Other | 000000193119 | ANTHEM |
| Ohio | MEDICAID | 0713786 | ANTHEM |
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