Oliverio, Jon Dominic

Oliverio, Jon Dominic is an individual health care provider with primary practice located at 1193 Norton Ave Suite D, Norton OH 44203-9516. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Oliverio, Jon Dominic can be contacted via phone (330) 825-7878.

Contact Information

Primary practice address
1193 Norton Ave Suite D Norton OH 44203-9516
Fax: (330) 595-4729
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2891-0 Ohio

Profile Details

NPI number 1710985163
LBN Legal business name Oliverio, Jon Dominic
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 1st, 2017 - about 8 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 1710985163 NPPES
Ohio MEDICAID 0156343
Ohio Other P01815036

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