Petersilge, William J
Petersilge, William J is an individual health care provider with primary practice located at 1000 Auburn Dr # 210 , Beachwood OH 44122-4317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Petersilge, William J can be contacted via phone (216) 844-5595.Contact Information
Primary practice address
1000 Auburn Dr # 210
Beachwood OH 44122-4317
Phone: (216) 844-5595
Fax: (216) 844-5522
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | BP1984740 | Ohio |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35-057863 | Ohio |
Profile Details
NPI number | 1659385359 |
---|---|
LBN Legal business name | Petersilge, William J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Jan 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659385359 | NPPES |
Ohio | Other | 738084 | BUCKEYE |
Ohio | Other | 000000221152 | BUCKEYE |
Ohio | MEDICAID | 0929106 | BUCKEYE |
Ohio | Other | P00076234 | BUCKEYE |
Ohio | Other | P00358835 | BUCKEYE |
Ohio | Other | 0655674 | BUCKEYE |
Ohio | Other | 000000503689 | BUCKEYE |
Ohio | Other | 363909 | BUCKEYE |
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