Omiecinski, Walter

Omiecinski, Walter is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Omiecinski, Walter can be contacted via phone (330) 297-0811.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Phone: (330) 297-0811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN098258 Ohio

Profile Details

NPI number 1255498283
LBN Legal business name Omiecinski, Walter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
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 1255498283 NPPES
Ohio Other 000000249794 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 0856935 ANTHEM PROVIDER NUMBER

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