Iliano, David M

Iliano, David M is an individual health care provider with primary practice located at 3700 Kolbe Rd , Lorain OH 44053-1611. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Iliano, David M can be contacted via phone (440) 960-4624.

Contact Information

Primary practice address
3700 Kolbe Rd Lorain OH 44053-1611
Phone: (440) 960-4624
Fax: (440) 960-4469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002969 Ohio

Profile Details

NPI number 1013240332
LBN Legal business name Iliano, David M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2009
Last updated Sep 29th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013240332 NPPES
Ohio MEDICAID 3025372

Popular Providers