Penhos, Juan C

Penhos, Juan C is an individual health care provider with primary practice located at 3703 Columbus Ave , Sandusky OH 44870-5719. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Penhos, Juan C can be contacted via phone (419) 625-8085.

Contact Information

Primary practice address
3703 Columbus Ave Sandusky OH 44870-5719
Phone: (419) 625-8085
Fax: (419) 625-6004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 35058356P Ohio

Profile Details

NPI number 1164420295
LBN Legal business name Penhos, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 18 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 1164420295 NPPES
Ohio MEDICAID 2391835

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