Ly, David

Ly, David is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Ly, David can be contacted via phone (330) 235-7081.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Phone: (330) 235-7081
Fax: (216) 201-6387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 51021 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35.129274 Ohio

Profile Details

NPI number 1477879864
LBN Legal business name Ly, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2010
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477879864 NPPES
Arizona Other P01536506 RAILROAD MEDICARE
Arizona Other QZZ000000061638 RAILROAD MEDICARE
Arizona Other 3495287 RAILROAD MEDICARE
Arizona MEDICAID 041529 RAILROAD MEDICARE
Arizona Other 7140968 RAILROAD MEDICARE

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