Kutsikovich, Gary R
Kutsikovich, Gary R is an individual health care provider with primary practice located at 8224 Mentor Ave Ste 126, Mentor OH 44060-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kutsikovich, Gary R can be contacted via phone (440) 205-9292.Contact Information
Primary practice address
8224 Mentor Ave Ste 126
Mentor OH 44060-5768
Phone: (440) 205-9292
Fax: (440) 205-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35081014K | Ohio |
Profile Details
| NPI number | 1255334272 |
|---|---|
| LBN Legal business name | Kutsikovich, Gary R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 13th, 2015 - about 10 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 | 1255334272 | NPPES |
| Ohio | MEDICAID | 2475487 |
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