Pathrose, Mini Peterson

Pathrose, Mini Peterson is an individual health care provider with primary practice located at 903 Nw Washington Blvd Suite B, Hamilton OH 45013-6386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pathrose, Mini Peterson can be contacted via phone (513) 867-9000.

Contact Information

Primary practice address
903 Nw Washington Blvd Suite B Hamilton OH 45013-6386
Phone: (513) 867-9000
Fax: (513) 785-3675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35080562P Ohio

Profile Details

NPI number 1538168844
LBN Legal business name Pathrose, Mini Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 14th, 2011 - about 15 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 1538168844 NPPES
Ohio MEDICAID 2357417

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