Petersilge, William J

Petersilge, William J is an individual health care provider with primary practice located at 1000 Auburn Dr # 210 , Beachwood OH 44122-4317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Petersilge, William J can be contacted via phone (216) 844-5595.

Contact Information

Primary practice address
1000 Auburn Dr # 210 Beachwood OH 44122-4317
Phone: (216) 844-5595
Fax: (216) 844-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X BP1984740 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35-057863 Ohio

Profile Details

NPI number 1659385359
LBN Legal business name Petersilge, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 12th, 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 1659385359 NPPES
Ohio Other 738084 BUCKEYE
Ohio Other 000000221152 BUCKEYE
Ohio MEDICAID 0929106 BUCKEYE
Ohio Other P00076234 BUCKEYE
Ohio Other P00358835 BUCKEYE
Ohio Other 0655674 BUCKEYE
Ohio Other 000000503689 BUCKEYE
Ohio Other 363909 BUCKEYE

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