Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35063316 | OH |
NPI | 1013058908 |
---|---|
Provider Name | Dr. John K Sontich |
First Address | Youngstown, OH 44504-1006 |
Second Address | Youngstown, OH 44504-1006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 17/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0900207 | (05) | OH |
F43888 | (02) | OH |