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Contact Information

JACOB K RASANOW, CAA
7007 POWERS BLVD
PARMA, OH44129-5437
 Phone: 440-350-0832
 Fax: 440-579-0191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for JACOB K RASANOW · (Male)

NPI # 1124476924
Status Active
Credentials CAA
Entity Individual
Enumeration date 06/02/2016
Last updated 03/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 67.000283
  • OH Medicaid 0217141
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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