Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35079496 | OH |
NPI | 1093814220 |
---|---|
Provider Name | Dr. Todd Edward Rambasek |
First Address | Sandusky, OH 44871-0378 |
Second Address | Sandusky, OH 44870-7251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1952401226 | NPI (01) | OH |
I17797 | (02) | |
P00217583 | MEDICARE RAILROAD (01) | OH |
RA2463187 | (05) | OH |