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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1023022183 | NPPES |
| Ohio | MEDICAID | 2680906 |
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