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Contact Information

JACK ANSTANDIG, MD
34900 CHARDON ROAD
SUITE 201
WILLOUGHBY HILLS, OH44094
 Phone: 440-269-1550
 Fax: 440-269-1750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JACK ANSTANDIG · (Male)

NPI Number 1558456426
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-052146
  • OH Medicaid 0819994
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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