Individual
HENRY T PRIJATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 745-1611
(330) 848-7795
Mailing address
PO BOX 74382, CLEVELAND, OH 44194-0002
(614) 430-5727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN148880
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215290
ANTHEM
—
05
—
0768432
—
OH
01
—
430069418
MEDICARE RAILROAD
—
Enumeration date
10/12/2006
Last updated
08/23/2007
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