Sivak, George
Sivak, George is an sole proprietor health care provider with primary practice located at 1305 Boardman Poland Rd , Youngstown OH 44514-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sivak, George can be contacted via phone (330) 629-2300.Contact Information
Primary practice address
1305 Boardman Poland Rd
Youngstown OH 44514-1935
Phone: (330) 629-2300
Fax: (330) 629-2371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34004606S | Ohio |
Profile Details
| NPI number | 1902843899 |
|---|---|
| LBN Legal business name | Sivak, George |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Nov 29th, 2012 - 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 | 1902843899 | NPPES |
| Ohio | MEDICAID | 0714794 | |
| Ohio | Other | 942460636209 | |
| Ohio | Other | P00220368 |
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