Peereboom, David M.

Peereboom, David M. is an individual health care provider with primary practice located at 9500 Euclid Ave R35, Cleveland OH 44195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Peereboom, David M. can be contacted via phone (216) 445-6068.

Contact Information

Primary practice address
9500 Euclid Ave R35 Cleveland OH 44195-0001
Phone: (216) 445-6068
Fax: (216) 444-9464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35.057997 Ohio
Other Service Providers / Specialist 174400000X 35-05-7997-P Ohio

Profile Details

NPI number 1548262512
LBN Legal business name Peereboom, David M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 21st, 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 1548262512 NPPES
Ohio MEDICAID 0957193

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