Radebaugh, David Ellis
Radebaugh, David Ellis is an individual health care provider with primary practice located at 12301 Snow Road , Parma OH 44130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Radebaugh, David Ellis can be contacted via phone (216) 524-7377.Contact Information
Primary practice address
12301 Snow Road
Parma OH 44130
Phone: (216) 524-7377
Fax: (216) 479-5554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-031880 | Ohio |
Profile Details
| NPI number | 1801996277 |
|---|---|
| LBN Legal business name | Radebaugh, David Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Oct 9th, 2013 - about 12 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 | 1801996277 | NPPES |
| Ohio | MEDICAID | 0208895 |
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