Juan, Norberto L

Juan, Norberto L is an sole proprietor health care provider with primary practice located at 3745 Grove Ave. , Lorain OH 44055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Juan, Norberto L can be contacted via phone (440) 240-1655.

Contact Information

Primary practice address
3745 Grove Ave. Lorain OH 44055
Phone: (440) 240-1655
Fax: (440) 233-0194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35040166 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35040166 Ohio

Profile Details

NPI number 1093989477
LBN Legal business name Juan, Norberto L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2008
Last updated Jan 24th, 2012 - about 13 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 1093989477 NPPES
Ohio MEDICAID 0335104

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