Juan, Alex D

Juan, Alex D is an sole proprietor health care provider with primary practice located at 1970 Tamarack Rd , Newark OH 43055-1363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Juan, Alex D can be contacted via phone (740) 344-2452.

Contact Information

Primary practice address
1970 Tamarack Rd Newark OH 43055-1363
Fax: (740) 344-7305
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35048932 Ohio

Profile Details

NPI number 1447247309
LBN Legal business name Juan, Alex D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Oct 21st, 2013 - about 9 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 1447247309 NPPES
Ohio MEDICAID 0516990

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