Mustillo, Peter John

Mustillo, Peter John is an sole proprietor health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Mustillo, Peter John can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 35073238 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35073238 Ohio
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 35073238 Ohio

Profile Details

NPI number 1730173758
LBN Legal business name Mustillo, Peter John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Feb 15th, 2022 - about 2 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 1730173758 NPPES
West Virginia MEDICAID 3004870000
West Virginia Other H229700
West Virginia MEDICAID 64047764
West Virginia MEDICAID 2154403

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