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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1174658272 NPPES
New Jersey MEDICAID 8921903

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