Esraeilian, Sina Benjamin

Esraeilian, Sina Benjamin is an sole proprietor health care provider with primary practice located at 1491 Lloyd Rd , Wickliffe OH 44092-2319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Esraeilian, Sina Benjamin can be contacted via phone (440) 585-1616.

Contact Information

Primary practice address
1491 Lloyd Rd Wickliffe OH 44092-2319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36.002709 Ohio

Profile Details

NPI number 1982705851
LBN Legal business name Esraeilian, Sina Benjamin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982705851 NPPES
Ohio MEDICAID 0882540
Ohio Other 34-1724510-002
Ohio Other 000000116138

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