Individual
DR. JON DOMINIC OLIVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1193 NORTON AVE, SUITE D, NORTON, OH 44203-9516
(330) 825-7878
(330) 595-4729
Mailing address
1193 NORTON AVE, SUITE D, NORTON, OH 44203-9516
(330) 825-7878
(330) 595-4729
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2891-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156343
—
OH
01
—
P01815036
RAILROAD MEDICARE
OH
Enumeration date
07/11/2005
Last updated
08/01/2017
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