Individual
JACOB K RASANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 350-0832
(440) 579-0191
Mailing address
7757 AUBURN RD, STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 354-7420
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217141
—
OH
Enumeration date
06/02/2016
Last updated
03/31/2020
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