Bavis, James Robert
Bavis, James Robert is an individual health care provider with primary practice located at 4105 Holiday St Nw , Canton OH 44718-2531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bavis, James Robert can be contacted via phone (330) 494-2097.Contact Information
Primary practice address
4105 Holiday St Nw
Canton OH 44718-2531
Phone: (330) 494-2097
Fax: (330) 494-9750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35082425 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 35-08-2425 | Ohio |
Profile Details
| NPI number | 1407880198 |
|---|---|
| LBN Legal business name | Bavis, James Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 6th, 2007 - about 19 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 | 1407880198 | NPPES |
| Ohio | Other | P00144116 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 2468539 | RAILROAD MEDICARE |
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