Garland, Peritha

Garland, Peritha is an individual health care provider with primary practice located at 7740 Washington Village Dr Ste 110 , Dayton OH 45459-3994. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Garland, Peritha can be contacted via phone (937) 439-4145.

Contact Information

Primary practice address
7740 Washington Village Dr Ste 110 Dayton OH 45459-3994
Fax: (937) 439-4371
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002005 Ohio

Profile Details

NPI number 1386684355
LBN Legal business name Garland, Peritha
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
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 1386684355 NPPES
Ohio Other 000000345039 ANTHEM
Ohio Other P00216286 ANTHEM
Ohio MEDICAID 0085227 ANTHEM

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