Sison, Demostenes R

Sison, Demostenes R is an individual health care provider with primary practice located at 4520 Oberlin Ave , Lorain OH 44053-3173. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sison, Demostenes R can be contacted via phone (440) 282-1485.

Contact Information

Primary practice address
4520 Oberlin Ave Lorain OH 44053-3173
Fax: (440) 282-5328
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Ohio

Profile Details

NPI number 1922077585
LBN Legal business name Sison, Demostenes R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1922077585 NPPES
Ohio MEDICAID 0269445

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