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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962465708 | NPPES |
Ohio | MEDICAID | 0752707 | |
Ohio | Other | 480017232 |
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