John, P George

John, P George is an individual health care provider with primary practice located at 1911 N Fairfield Rd Ste 110A, Beavercreek OH 45432-2762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. John, P George can be contacted via phone (937) 429-4826.

Contact Information

Primary practice address
1911 N Fairfield Rd Ste 110A Beavercreek OH 45432-2762
Fax: (937) 429-4575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-042936 Ohio

Profile Details

NPI number 1780640342
LBN Legal business name John, P George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Dec 19th, 2013 - about 11 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 1780640342 NPPES
Ohio MEDICAID 0388334

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