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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346304607 NPPES
Ohio MEDICAID 0150223

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