Paesano, John N

Paesano, John N is an individual health care provider with primary practice located at 840 Oakwood Blvd , Dearborn MI 48124-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Paesano, John N can be contacted via phone (313) 359-7650.

Contact Information

Primary practice address
840 Oakwood Blvd Dearborn MI 48124-2319
Fax: (313) 359-7660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101006212 Michigan

Profile Details

NPI number 1922049725
LBN Legal business name Paesano, John N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 9th, 2007 - about 17 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 1922049725 NPPES
Michigan MEDICAID 4411470

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