Petroff, Roman
Petroff, Roman is an individual health care provider with primary practice located at 730 Som Center Rd Ste 230 , Mayfield Village OH 44143-2362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petroff, Roman can be contacted via phone (440) 461-6477.Contact Information
Primary practice address
730 Som Center Rd Ste 230
Mayfield Village OH 44143-2362
Phone: (440) 461-6477
Fax: (440) 461-1017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35047914 | Ohio |
Profile Details
NPI number | 1477568863 |
---|---|
LBN Legal business name | Petroff, Roman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Jan 15th, 2021 - about 3 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 | 1477568863 | NPPES |
Ohio | Other | 110216615 | RAILROAD |
Ohio | MEDICAID | 0512903 | RAILROAD |
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