Provider Demographics
NPI:1467587188
Name:PINTA, EMIL RICHARD
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:RICHARD
Last Name:PINTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7652 ASHWORTH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1702
Mailing Address - Country:US
Mailing Address - Phone:614-436-4639
Mailing Address - Fax:
Practice Address - Street 1:7652 ASHWORTH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1702
Practice Address - Country:US
Practice Address - Phone:614-436-4639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0292812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry