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Contact Information

NORBERTO L JUAN, MD
3745 GROVE AVE.
LORAIN, OH44055
 Phone: 440-240-1655
 Fax: 440-233-0194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for NORBERTO L JUAN · (Male)

NPI Number 1093989477
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2008
Last updated 01/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35040166
  • OH Medicaid 0335104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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