Tardio, Jerry C

Tardio, Jerry C is an individual health care provider with primary practice located at 853 W Bagley Rd , Berea OH 44017-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tardio, Jerry C can be contacted via phone (440) 234-0502.

Contact Information

Primary practice address
853 W Bagley Rd Berea OH 44017-2903
Phone: (440) 234-0502
Fax: (440) 234-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35049545T Ohio

Profile Details

NPI number 1396745170
LBN Legal business name Tardio, Jerry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 22nd, 2011 - about 14 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 1396745170 NPPES
Ohio MEDICAID 0738705

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