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Contact Information

THEODORE J BELTAVSKI, PA-C
3574 CENTER RD
BRUNSWICK, OH44212-3618
 Phone: 440-552-8066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THEODORE J BELTAVSKI · (Male)

NPI # 1467155739
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/24/2023
Last updated 06/06/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 50.008379RX
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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