Individual
MR. SAMUEL P PSCHESANG I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 MOUND AVE, MILFORD, OH 45150-1033
(513) 383-6355
(513) 831-4370
Mailing address
103 MOUND AVE, MILFORD, OH 45150-1033
(513) 383-6355
(513) 831-4370
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311126
—
OH
05
—
2552876
—
OH
Enumeration date
10/11/2006
Last updated
07/09/2007
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