Ticoras, Christ John

Ticoras, Christ John is an individual health care provider with primary practice located at 770 Balgreen Dr Ste 201, Mansfield OH 44906-4106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ticoras, Christ John can be contacted via phone (419) 756-1600.

Contact Information

Primary practice address
770 Balgreen Dr Ste 201 Mansfield OH 44906-4106
Phone: (419) 756-1600
Fax: (419) 775-1196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35-06-3717T Ohio
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35-06-3717T Ohio

Profile Details

NPI number 1821099615
LBN Legal business name Ticoras, Christ John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 22nd, 2010 - 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 1821099615 NPPES
Ohio Other 000000199905 BCBS
Ohio MEDICAID 2146574 BCBS

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