Prestigiacomo, Charles Joseph
Prestigiacomo, Charles Joseph is an individual health care provider with primary practice located at 3113 Bellevue Ave , Cincinnati OH 45219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Prestigiacomo, Charles Joseph can be contacted via phone (513) 475-8990.Contact Information
Primary practice address
3113 Bellevue Ave
Cincinnati OH 45219
Phone: (513) 475-8990
Fax: (513) 475-8577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 35.134660 | Ohio |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 25MA07461000 | New Jersey |
Profile Details
NPI number | 1174658272 |
---|---|
LBN Legal business name | Prestigiacomo, Charles Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2007 |
Last updated | Mar 29th, 2019 - about 5 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 | 1174658272 | NPPES |
New Jersey | MEDICAID | 8921903 |
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