Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35.085833 | OH |
NPI | 1013936871 |
---|---|
Provider Name | Dr. Jason Valent |
First Address | Strongsville, OH 44136-9302 |
Second Address | Strongsville, OH 44136-9302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 14/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3048044 | (05) | OH |
488410010 | (05) | MI |
700H262220 | BLUE CROSS-BLUE CROSS (01) | |
I59377 | (02) | |
JV087785 | CHAMPUS-CHAMPUS (01) | |
JV087785 | COMMERCIAL-COMMERCIAL NUMBER (01) |