Mitstifer, Jack H
Mitstifer, Jack H is an individual health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mitstifer, Jack H can be contacted via phone (330) 344-1799.Contact Information
Primary practice address
400 Wabash Ave
Akron OH 44307
Phone: (330) 344-1799
Fax: (330) 253-8293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35079768M | Ohio |
Profile Details
| NPI number | 1023075132 |
|---|---|
| LBN Legal business name | Mitstifer, Jack H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023075132 | NPPES |
| Ohio | MEDICAID | 2290533 |
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