Individual
JUAN PAULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 W WENGER RD, STE D, ENGLEWOOD, OH 45322-2723
(937) 275-8900
(937) 276-0534
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-03-3244-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280745
ANTHEM BENEFIT ADMINISTRA
OH
01
—
311417673
CHAMPUS/TRICARE (WPS)
OH
01
—
311417673030
CARESOURCE
OH
01
—
4032122
AETNA US HEALTHCARE
OH
01
—
D3324404
CHOICECARE
OH
01
—
PO0133785
RAILROAD MEDICARE-PALMETT
OH
Enumeration date
06/27/2005
Last updated
03/13/2014
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