Killian, Patrick M
Killian, Patrick M is an individual health care provider with primary practice located at 5779 Wooster Pike , Medina OH 44256-8816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Killian, Patrick M can be contacted via phone (330) 721-9990.Contact Information
Primary practice address
5779 Wooster Pike
Medina OH 44256-8816
Phone: (330) 721-9990
Fax: (330) 662-0258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 35.081383 | Ohio |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35081383 | Ohio |
Profile Details
| NPI number | 1982663324 |
|---|---|
| LBN Legal business name | Killian, Patrick M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 26th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982663324 | NPPES |
| Ohio | MEDICAID | 0325301 | |
| Ohio | Other | 9295262 |
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