Omelsky, Paul Theodore
Omelsky, Paul Theodore is an sole proprietor health care provider with primary practice located at 2460 Fairmount Blvd Siute 212, Cleveland Hts OH 44106-3171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Omelsky, Paul Theodore can be contacted via phone (216) 536-8479.Contact Information
Primary practice address
2460 Fairmount Blvd Siute 212
Cleveland Hts OH 44106-3171
Phone: (216) 536-8479
Fax: (216) 932-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35.031025 | Ohio |
Profile Details
| NPI number | 1346304607 |
|---|---|
| LBN Legal business name | Omelsky, Paul Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Nov 12th, 2009 - about 17 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 | 1346304607 | NPPES |
| Ohio | MEDICAID | 0150223 |
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