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
Fax: (440) 461-1017
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477568863 NPPES
Ohio Other 110216615 RAILROAD
Ohio MEDICAID 0512903 RAILROAD

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