Magoon, Elbert Hendrik

Magoon, Elbert Hendrik is an individual health care provider with primary practice located at 800 Mckinley Ave Nw , Canton OH 44703-2463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Magoon, Elbert Hendrik can be contacted via phone (330) 452-8884.

Contact Information

Primary practice address
800 Mckinley Ave Nw Canton OH 44703-2463
Fax: (330) 452-2404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-047480 Ohio

Profile Details

NPI number 1588663223
LBN Legal business name Magoon, Elbert Hendrik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1588663223 NPPES
Ohio MEDICAID 0487290

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