Peschiera, Juan L

Peschiera, Juan L is an sole proprietor health care provider with primary practice located at 375 Dixmyth Ave , Cincinnati OH 45220-2475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Peschiera, Juan L can be contacted via phone (513) 872-0669.

Contact Information

Primary practice address
375 Dixmyth Ave Cincinnati OH 45220-2475
Phone: (513) 872-0669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35-051013 Ohio

Profile Details

NPI number 1962566943
LBN Legal business name Peschiera, Juan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Mar 5th, 2008 - about 18 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 1962566943 NPPES
Ohio Other 31145546100 WKERS COMP
Ohio MEDICAID 64865322 WKERS COMP
Ohio Other 720388 WKERS COMP
Ohio Other 000000019740 WKERS COMP
Ohio MEDICAID 0612251 WKERS COMP

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