Sazdanoff, Ted L

Sazdanoff, Ted L is an individual health care provider with primary practice located at 990 Lexington Ave , Mansfield OH 44907-2246. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sazdanoff, Ted L can be contacted via phone (419) 756-6111.

Contact Information

Primary practice address
990 Lexington Ave Mansfield OH 44907-2246
Fax: (419) 756-2549
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 980 Ohio

Profile Details

NPI number 1356472815
LBN Legal business name Sazdanoff, Ted L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356472815 NPPES
Ohio MEDICAID 2765217
Ohio Other 341444686

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