Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35037066 | OH |
NPI | 1043269434 |
---|---|
Provider Name | Augusto C Juguilon |
First Address | Portsmouth, OH 45662-2681 |
Second Address | Portsmouth, OH 45662-2654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0256995 | (05) | OH |
B97534 | (02) | OH |