Orta, Andy
Orta, Andy is an sole proprietor health care provider with primary practice located at 7482 Center St Unit 100 , Mentor OH 44060. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Orta, Andy can be contacted via phone (440) 357-8418.Contact Information
Primary practice address
7482 Center St Unit 100
Mentor OH 44060
Phone: (440) 357-8418
Fax: (440) 255-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36003885 | Ohio |
Profile Details
| NPI number | 1285014845 |
|---|---|
| LBN Legal business name | Orta, Andy |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2015 |
| Last updated | Aug 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285014845 | NPPES |
| Ohio | MEDICAID | 030260 |
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