Pancoast, John Richard
Pancoast, John Richard is an individual health care provider with primary practice located at 234 Goodman St Barrett Center, Cincinnati OH 45219-2364. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Pancoast, John Richard can be contacted via phone (513) 584-6928.Contact Information
Primary practice address
234 Goodman St Barrett Center
Cincinnati OH 45219-2364
Phone: (513) 584-6928
Fax: (513) 584-4281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-036298 | Ohio |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 35-036298 | Ohio |
Profile Details
| NPI number | 1649238536 |
|---|---|
| LBN Legal business name | Pancoast, John Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jan 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649238536 | NPPES |
| Tennessee | MEDICAID | 4047835 | |
| Tennessee | MEDICAID | 0390670 | |
| Tennessee | MEDICAID | 64764582 |
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