Peysha, Jill K.
Peysha, Jill K. is an individual health care provider with primary practice located at 5105 Som Center Rd #107 , Willoughby OH 44094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Peysha, Jill K. can be contacted via phone (440) 953-5712.Contact Information
Primary practice address
5105 Som Center Rd #107
Willoughby OH 44094
Phone: (440) 953-5712
Fax: (440) 953-5713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101269063 | Virginia |
Profile Details
| NPI number | 1295155786 |
|---|---|
| LBN Legal business name | Peysha, Jill K. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2014 |
| Last updated | Oct 13th, 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 | 1295155786 | NPPES |
| Ohio | Other | 35.146110 | OHIO ELICENSE |
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