Enriquez, Joel S

Enriquez, Joel S is an sole proprietor health care provider with primary practice located at 5500 Market St Ste 119 , Youngstown OH 44512-2616. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Enriquez, Joel S can be contacted via phone (724) 824-4096.

Contact Information

Primary practice address
5500 Market St Ste 119 Youngstown OH 44512-2616
Fax: (724) 269-9476
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD032828E Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD032828E Pennsylvania

Profile Details

NPI number 1437177979
LBN Legal business name Enriquez, Joel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Aug 7th, 2015 - 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 1437177979 NPPES
Pennsylvania MEDICAID 0010515970014
Pennsylvania MEDICAID 2478251

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