Castaneda, Juanita M

Castaneda, Juanita M is an sole proprietor health care provider with primary practice located at 2804 Brainard Rd , Pepper Pike OH 44124-4608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Castaneda, Juanita M can be contacted via phone (216) 214-6176.

Contact Information

Primary practice address
2804 Brainard Rd Pepper Pike OH 44124-4608
Fax: (440) 494-7049
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35048555 Ohio

Profile Details

NPI number 1497744148
LBN Legal business name Castaneda, Juanita M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Mar 28th, 2018 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497744148 NPPES
Ohio Other 000000332689 ANTHEM
Ohio MEDICAID 0536067 ANTHEM
Ohio Other 110031418 ANTHEM
Ohio Other 000000124452 ANTHEM
Ohio Other P00198029 ANTHEM

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