Reaven, Robert E

Reaven, Robert E is an individual health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reaven, Robert E can be contacted via phone (330) 489-1070.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 489-1070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35042206 Ohio

Profile Details

NPI number 1073513859
LBN Legal business name Reaven, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073513859 NPPES
Ohio Other 000000026389 BC/BS INDIVIDUAL PIN NO
Ohio MEDICAID 0427621 BC/BS INDIVIDUAL PIN NO

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