Cha, Peter Shin

Cha, Peter Shin is an individual health care provider with primary practice located at 6480 Harrison Ave Suite 201, Cincinnati OH 45247-7961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cha, Peter Shin can be contacted via phone (513) 354-3700.

Contact Information

Primary practice address
6480 Harrison Ave Suite 201 Cincinnati OH 45247-7961
Phone: (513) 354-3700
Fax: (513) 354-7651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35-07-6821 Ohio

Profile Details

NPI number 1205826161
LBN Legal business name Cha, Peter Shin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 9th, 2014 - about 10 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 1205826161 NPPES
Ohio Other 409406 WELLCARE
Ohio Other 000000320048 WELLCARE
Ohio Other 7395549 WELLCARE
Ohio MEDICAID 2475610 WELLCARE
Ohio Other 76821 WELLCARE

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