Chaban, Ross

Chaban, Ross is an sole proprietor health care provider with primary practice located at 6600 Sylvania Ave Suite 264, Sylvania OH 43560-3933. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Chaban, Ross can be contacted via phone (419) 517-4088.

Contact Information

Primary practice address
6600 Sylvania Ave Suite 264 Sylvania OH 43560-3933
Phone: (419) 517-4088
Fax: (419) 517-4089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E-1728 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 923317 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-1728 Ohio

Profile Details

NPI number 1245437920
LBN Legal business name Chaban, Ross
Credentials LPCC, LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Nov 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245437920 NPPES
Ohio MEDICAID 2732412

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