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
Phone: (330) 363-1341
Fax: (330) 363-0074
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083619258 | NPPES |
Ohio | MEDICAID | 0791353 |
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