Reardon, Robert Eugene

Reardon, Robert Eugene is an sole proprietor health care provider with primary practice located at 18901 Lake Shore Blvd , Euclid OH 44119-1078. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Reardon, Robert Eugene can be contacted via phone (216) 531-9000.

Contact Information

Primary practice address
18901 Lake Shore Blvd Euclid OH 44119-1078
Phone: (216) 531-9000
Fax: (216) 274-9629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5001 Ohio

Profile Details

NPI number 1124004957
LBN Legal business name Reardon, Robert Eugene
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Dec 3rd, 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 1124004957 NPPES
Ohio Other 352766 STAYWELL HEALTH/WELLCARE
Ohio Other 1535088 STAYWELL HEALTH/WELLCARE
Ohio Other 000000123581 STAYWELL HEALTH/WELLCARE
Ohio MEDICAID 0233198 STAYWELL HEALTH/WELLCARE
Ohio Other 000000123581 STAYWELL HEALTH/WELLCARE

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