Gaeta, Miguel M

Gaeta, Miguel M is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Gaeta, Miguel M can be contacted via phone (937) 395-6010.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-6010
Fax: (937) 395-8162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 241909 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 14547 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X MD037557 District of Columbia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35.128427 Ohio

Profile Details

NPI number 1336306141
LBN Legal business name Gaeta, Miguel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Jan 14th, 2021 - about 3 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 1336306141 NPPES
Ohio MEDICAID 0166016

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