Rich, Justin T

Rich, Justin T is an individual health care provider with primary practice located at 9075 Town Centre Dr Ste 110 , Broadview Hts OH 44147-4046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rich, Justin T can be contacted via phone (440) 526-6630.

Contact Information

Primary practice address
9075 Town Centre Dr Ste 110 Broadview Hts OH 44147-4046
Phone: (440) 526-6630
Fax: (440) 526-1487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-088305 Ohio

Profile Details

NPI number 1023022183
LBN Legal business name Rich, Justin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 13th, 2013 - about 11 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 1023022183 NPPES
Ohio MEDICAID 2680906

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