Prizant, Frederick Jay

Prizant, Frederick Jay is an individual health care provider with primary practice located at 1100 N Abbe Rd Suite D, Elyria OH 44035-1667. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Prizant, Frederick Jay can be contacted via phone (440) 365-2502.

Contact Information

Primary practice address
1100 N Abbe Rd Suite D Elyria OH 44035-1667
Phone: (440) 365-2502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002142 Ohio

Profile Details

NPI number 1548339666
LBN Legal business name Prizant, Frederick Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548339666 NPPES
Other 160203 ANTHEM BLUE CROSS
MEDICAID 0694708 ANTHEM BLUE CROSS

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