Prem, Jeffrey T

Prem, Jeffrey T is an individual health care provider with primary practice located at 6046 Whipple Ave Nw Ste 203 , North Canton OH 44720-7616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Prem, Jeffrey T can be contacted via phone (330) 588-8900.

Contact Information

Primary practice address
6046 Whipple Ave Nw Ste 203 North Canton OH 44720-7616
Phone: (330) 588-8900
Fax: (330) 588-8990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35071936P Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35071936P Ohio

Profile Details

NPI number 1235110693
LBN Legal business name Prem, Jeffrey T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Apr 9th, 2020 - 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 1235110693 NPPES
Ohio MEDICAID 2048484

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