Lax, Fredric

Lax, Fredric is an individual health care provider with primary practice located at 770 W High St Suite 390, Lima OH 45801-3990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Lax, Fredric can be contacted via phone (419) 996-5202.

Contact Information

Primary practice address
770 W High St Suite 390 Lima OH 45801-3990
Phone: (419) 996-5202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35 067534 Ohio

Profile Details

NPI number 1225096399
LBN Legal business name Lax, Fredric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 30th, 2009 - about 16 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 1225096399 NPPES
Ohio Other 000000359907 ANTHEM BLUE CROSS
Ohio MEDICAID 0995062 ANTHEM BLUE CROSS
Ohio Other 341105619-020 ANTHEM BLUE CROSS

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