Lacuesta, Marden B
Lacuesta, Marden B is an individual health care provider with primary practice located at 718 East Wayne Street , Celina OH 45822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lacuesta, Marden B can be contacted via phone (419) 586-2523.Contact Information
Primary practice address
718 East Wayne Street
Celina OH 45822
Phone: (419) 586-2523
Fax: (419) 584-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35043441 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35043441 | Ohio |
Profile Details
| NPI number | 1417038118 |
|---|---|
| LBN Legal business name | Lacuesta, Marden B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1417038118 | NPPES |
| Ohio | MEDICAID | 0396905 |
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