Fratczak, Slawomir Mark
Fratczak, Slawomir Mark is an individual health care provider with primary practice located at 1330 Mercy Dr Nw Suite 510, Canton OH 44708-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fratczak, Slawomir Mark can be contacted via phone (330) 580-4706.Contact Information
Primary practice address
1330 Mercy Dr Nw Suite 510
Canton OH 44708-2626
Phone: (330) 580-4706
Fax: (330) 580-4707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35073829F | Ohio |
Profile Details
| NPI number | 1124009436 |
|---|---|
| LBN Legal business name | Fratczak, Slawomir Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | May 19th, 2008 - about 18 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 | 1124009436 | NPPES |
| Ohio | MEDICAID | 2140749 |
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