Portnow, Robert Thomas

Portnow, Robert Thomas is an individual health care provider with primary practice located at 3691 Lee Rd Ste 102, Shaker Heights OH 44120-5145. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Portnow, Robert Thomas can be contacted via phone (216) 491-9902.

Contact Information

Primary practice address
3691 Lee Rd Ste 102 Shaker Heights OH 44120-5145
Phone: (216) 491-9902
Fax: (216) 491-8151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2576 Ohio

Profile Details

NPI number 1962465708
LBN Legal business name Portnow, Robert Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 25th, 2007 - about 18 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 1962465708 NPPES
Ohio MEDICAID 0752707
Ohio Other 480017232

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