Paquette, Ian M

Paquette, Ian M is an sole proprietor health care provider with primary practice located at 2123 Auburn Ave , Cincinnati OH 45219-2906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Paquette, Ian M can be contacted via phone (513) 929-0104.

Contact Information

Primary practice address
2123 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 929-0104
Fax: (513) 929-4369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13264 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.097012 Ohio
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 53132 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35.097012 Ohio

Profile Details

NPI number 1356423859
LBN Legal business name Paquette, Ian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Feb 22nd, 2018 - about 7 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 1356423859 NPPES
Indiana MEDICAID 201020980
Indiana MEDICAID 7100160520
Indiana MEDICAID 3141808

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