Juschka, Dirk N

Juschka, Dirk N is an individual health care provider with primary practice located at 1460 Ludlow Rd , Xenia OH 45385-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Juschka, Dirk N can be contacted via phone (937) 232-8033.

Contact Information

Primary practice address
1460 Ludlow Rd Xenia OH 45385-7900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052815 Ohio

Profile Details

NPI number 1497750137
LBN Legal business name Juschka, Dirk N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Oct 30th, 2014 - 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 1497750137 NPPES
Ohio MEDICAID 0616033

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