Ancheta, Priscilla Itliong
Ancheta, Priscilla Itliong is an sole proprietor health care provider with primary practice located at 5 Severance Cir Ste 416 , Cleveland Heights OH 44118-1570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ancheta, Priscilla Itliong can be contacted via phone (216) 291-0424.Contact Information
Primary practice address
5 Severance Cir Ste 416
Cleveland Heights OH 44118-1570
Phone: (216) 291-0424
Fax: (216) 291-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 03-03-5189-A | Ohio |
Profile Details
| NPI number | 1740395169 |
|---|---|
| LBN Legal business name | Ancheta, Priscilla Itliong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1740395169 | NPPES |
| Ohio | MEDICAID | 0198870 |
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