Roholt, Philip C

Roholt, Philip C is an individual health care provider with primary practice located at 5890 Mayfair Rd , Canton OH 44720-1547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roholt, Philip C can be contacted via phone (330) 305-2200.

Contact Information

Primary practice address
5890 Mayfair Rd Canton OH 44720-1547
Phone: (330) 305-2200
Fax: (330) 305-3310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 45634 Ohio

Profile Details

NPI number 1679515282
LBN Legal business name Roholt, Philip C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 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 1679515282 NPPES
Other 2987047004 CIGNA
Other 1991085 CIGNA
Other 4087720 CIGNA
Other 000000203492 CIGNA
MEDICAID 0558856 CIGNA

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