Novoa, Roberto

Novoa, Roberto is an sole proprietor health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Novoa, Roberto can be contacted via phone (330) 363-1341.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Fax: (330) 363-0074
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35057654 Ohio

Profile Details

NPI number 1083619258
LBN Legal business name Novoa, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Feb 16th, 2010 - about 14 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 1083619258 NPPES
Ohio MEDICAID 0791353

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