Degolia, Peter Alexander

Degolia, Peter Alexander is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Degolia, Peter Alexander can be contacted via phone (216) 844-3944.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-3944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 35062016 Ohio

Profile Details

NPI number 1750314662
LBN Legal business name Degolia, Peter Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 6th, 2008 - about 18 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 1750314662 NPPES
Ohio MEDICAID 0968243
Ohio Other 738457
Ohio Other 000000221407
Ohio Other 414960
Ohio Other 000000531122
Ohio Other P00412320
Ohio Other 4558739

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