Peereboom, David M.
Peereboom, David M. is an individual health care provider with primary practice located at 9500 Euclid Ave R35, Cleveland OH 44195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Peereboom, David M. can be contacted via phone (216) 445-6068.Contact Information
Primary practice address
9500 Euclid Ave R35
Cleveland OH 44195-0001
Phone: (216) 445-6068
Fax: (216) 444-9464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35.057997 | Ohio |
| Other Service Providers / Specialist | 174400000X | 35-05-7997-P | Ohio |
Profile Details
| NPI number | 1548262512 |
|---|---|
| LBN Legal business name | Peereboom, David M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Dec 21st, 2022 - about 4 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 | 1548262512 | NPPES |
| Ohio | MEDICAID | 0957193 |
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