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, NPI 1871595066

Specialist in CANTON, OH

Last Updated on : Aug 14,2019

About (NPI 1871595066)


is a Specialist in CANTON, United States

1871595066 is NPI number of .

's primary taxonomy code based on NPI Lookup is 174400000X with license number 0827IC. This taxonomy code refers to Specialist.

current practice location address is 4197 FULTON DR NW, CANTON, OH. can be reached out via phone at 330-491-1490 and via fax at 330-491-1466 .

You can also correspond with through mail at mailing address PO BOX 20347, CANTON, OH, United States. Mailing address contact number is 330-491-1490.

The enumeration date of is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 3 years ago.

The authorized official of is Shawn Smith (Secretary/Treasurer). Shawn Smith can be reached at 3305260005.

1871595066 NPI Information

Name
National Provider Id (NPI) 1871595066
Entity Type Organization
Practice Address 4197 FULTON DR NW, SUITE C
CANTON, OH, United States
Practice Telephone 330-491-1490
Practice Fax Number 330-491-1466
Mailing Address PO BOX 20347 ,
CANTON, OH, United States
Mailing Telephone 330-491-1490
Mailing Fax Number 330-491-1466
Enumeration Date 01-Jun-2005
Last Updated Date 14-Aug-2019

(NPI 1871595066) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 174400000X Specialist 0827IC OH

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
ID01221 MEDICARE PIN (08) OH

(NPI 1871595066) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1396723714 STEVEN BRETT SLOAN Dermatology 21 SOUTH ROAD,
FARMINGTON, CT, United States
05-Jan-2006
1326437377 LISA NEWBERRY Counselor, Mental Health 44 ELLSWORTH LN,
CANTON, CT, United States
14-Jan-2015
1043609027 LYNELLE GUIMOND Occupational Therapist 447 CHERRY BROOK RD,
CANTON, CT, United States
14-Jan-2015
1376729624 JUDY CABECEIRAS Community/Behavioral Health 50 ALBANY TPKE, SUITE 5036
CANTON, CT, United States
17-Jan-2008
1154476927 TRACY MILLS ECKERT Counselor, Addiction (Substance Use Disorder) 22 CAMILLE LN,
CANTON, CT, United States
24-Jan-2007
1679610505 ANDREA PRAIRIE TULLEY Counselor, Professional 33 DARTMOUTH DRIVE,
CANTON, CT, United States
31-Jan-2007
1083852289 SELINDA A SHEPHERD Physical Therapist PO BOX 466,
CANTON, CT, United States
26-Jan-2009
1720542434 SHARON ROSE MEHERAN Student in an Organized Health Care Education/Training Program 101 SOUTH ST FL 2,
HARTFORD, CT, United States
27-Jan-2019
1457498925 ANDREA F FLAHERTY Marriage & Family Therapist 745 CHERRY BROOK ROAD,
CANTON, CT, United States
31-Jan-2007
1235477969 SEEKING OUT SOLUTIONS Clinic/Center, Mental Health (Including Community Mental Health Center) 259 ALBANY TPKE,
CANTON, CT, United States
31-Jan-2013
1174661292 CYNTHIA LACOUTURE Physical Therapist 201 NORTH MOUNTAIN RD., SUITE 301
PLAINVILLE, CT, United States
01-Feb-2007
1659739050 RAMON VEGA DE JESUS Counselor, Professional 45 WADSWORTH ST,
HARTFORD, CT, United States
01-Feb-2016
1497347165 JEFFREY MORISANO Marriage & Family Therapist 72 CHERRY BROOK RD,
CANTON, CT, United States
04-Feb-2021
1689713166 FOCUS ALTERNATIVE LEARNING CENTER, INC. Community/Behavioral Health PO BOX 452,
CANTON, CT, United States
05-Feb-2007
1467591180 ELLEN FAITH ROBBINS Marriage & Family Therapist PO BOX 904, 259 ALBANY TURNPIKE
CANTON, CT, United States
06-Feb-2007
1336508977 MYRA HOLT Physical Therapist PO BOX 466,
CANTON, CT, United States
10-Feb-2016
1578954459 SHANYA STEARNS Physical Therapist, Orthopedic 65A ALBANY TPKE,
CANTON, CT, United States
12-Feb-2015
1477681278 BRENDA COYLE Psychologist, Clinical 32 PHEASANT HILL RD,
COLLINSVILLE, CT, United States
01-Mar-2007
1912532953 CANTON GERIATRICS PLLC Clinic/Center, Health Services 461 CHERRY BROOK ROAD,
CANTON, CT, United States
10-Mar-2020
1679848378 ELIZABETH KASSEL Physical Therapist PO BOX 466,
CANTON, CT, United States
13-Mar-2012

FAQs

Whose NPI Number is 1871595066?

1871595066 is the NPI number of .

Where is located?

is located at 4197 FULTON DR NW, CANTON, OH.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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