Pistilli, Judith Ann
Pistilli, Judith Ann is an sole proprietor health care provider with primary practice located at 7061 Corporate Way Suite 110, Dayton OH 45459-4245. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pistilli, Judith Ann can be contacted via phone (937) 293-4179.Contact Information
Primary practice address
7061 Corporate Way Suite 110
Dayton OH 45459-4245
Phone: (937) 293-4179
Fax: (937) 293-4179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2383 | Ohio |
Profile Details
| NPI number | 1457313173 |
|---|---|
| LBN Legal business name | Pistilli, Judith Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Dec 8th, 2014 - about 10 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 | 1457313173 | NPPES |
| Ohio | MEDICAID | 0351060 |
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