Pavlina, Peter M

Pavlina, Peter M is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 5650, Kettering OH 45429-1264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Pavlina, Peter M can be contacted via phone (937) 294-3611.

Contact Information

Primary practice address
3533 Southern Blvd Ste 5650 Kettering OH 45429-1264
Phone: (937) 294-3611
Fax: (937) 294-9010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35058244 Ohio

Profile Details

NPI number 1881692341
LBN Legal business name Pavlina, Peter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 6th, 2021 - about 3 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 1881692341 NPPES
Ohio MEDICAID 0743039

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