Podolsky, Eugene D

Podolsky, Eugene D is an individual health care provider with primary practice located at 720 Youngstown Warren Rd , Niles OH 44446-3551. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Podolsky, Eugene D can be contacted via phone (330) 652-0535.

Contact Information

Primary practice address
720 Youngstown Warren Rd Niles OH 44446-3551
Phone: (330) 652-0535
Fax: (330) 652-0536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 3600-2212 Ohio

Profile Details

NPI number 1043217896
LBN Legal business name Podolsky, Eugene D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 21st, 2019 - about 6 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 1043217896 NPPES
West Virginia MEDICAID 2104005-000
West Virginia MEDICAID 4080718
West Virginia MEDICAID 0628593

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