Fernandez-Ulloa, Mariano

Fernandez-Ulloa, Mariano is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45267-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Fernandez-Ulloa, Mariano can be contacted via phone (513) 584-2146.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45267-1000
Phone: (513) 584-2146
Fax: (513) 584-0431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 35-04-0051-F Ohio

Profile Details

NPI number 1982793303
LBN Legal business name Fernandez-Ulloa, Mariano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 27th, 2012 - about 12 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 1982793303 NPPES
Ohio Other 000000013583 ANTHEM
Ohio MEDICAID 64781354 ANTHEM
Ohio MEDICAID 0377702 ANTHEM
Ohio Other 3820017 ANTHEM
Ohio MEDICAID 200038970A ANTHEM
Ohio Other 655277 ANTHEM

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