Pedersen, John C

Pedersen, John C is an sole proprietor health care provider with primary practice located at 270 S Cleveland Massillon Rd Ste C , Fairlawn OH 44333-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Pedersen, John C can be contacted via phone (330) 443-0221.

Contact Information

Primary practice address
270 S Cleveland Massillon Rd Ste C Fairlawn OH 44333-6000
Phone: (330) 443-0221
Fax: (330) 303-1880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35--070058 Ohio

Profile Details

NPI number 1396723409
LBN Legal business name Pedersen, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Oct 18th, 2021 - about 5 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 1396723409 NPPES
Ohio MEDICAID 0435666
Ohio Other 1942892237

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