Dermatology Centre Of Northeast Ohio, Llc in Youngstown - Specialist

Dermatology Centre Of Northeast Ohio, Llc - NPI 1063565513

Dermatology Centre Of Northeast Ohio, Llc is a Specialist in Youngstown, Ohio. Dermatology Centre Of Northeast Ohio, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Centre Of Northeast Ohio, Llc is 1063565513. The last update date is 2020-08-22.

Dermatology Centre Of Northeast Ohio, Llc's current location address is 960 Windham Ct, Youngstown, Ohio. You can contact this provider via phone number 3307588866 and fax number 3307584051. The mailing address for Dermatology Centre Of Northeast Ohio, Llc is 960 Windham Ct, Youngstown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dermatology Centre Of Northeast Ohio, Llc
Address 960 Windham Ct, Youngstown, Ohio
Phone Number 3307588866
Fax Number 3307584051
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Stilson L Terri
Telephone Number 3307588866

NPI Number Detail

NPI Number 1063565513
Provider Enumeration Date 2007-01-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 960 Windham Ct
City Youngstown
State Ohio (OH)
Post Code 44512
Phone Number 3307588866
Fax Number 3307584051

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 35059099
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
784594 OH --

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FAQs about Dermatology Centre Of Northeast Ohio, Llc

What is the unique 10-digit identification code assigned to Dermatology Centre Of Northeast Ohio, Llc by the Centers for Medicare & Medicaid Services?

The Dermatology Centre Of Northeast Ohio, Llc has been issued the NPI (National Provider Identifier) 1063565513, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dermatology Centre Of Northeast Ohio, Llc is located?

The Dermatology Centre Of Northeast Ohio, Llc is situated at the following address: 960 Windham Ct, Youngstown, OH, 44512.

What is the Dermatology Centre Of Northeast Ohio, Llc's specialty and taxonomy code?

The Dermatology Centre Of Northeast Ohio, Llc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Dermatology Centre Of Northeast Ohio, Llc's 1063565513 issued?

The Dermatology Centre Of Northeast Ohio, Llc's 1063565513 was issued on 2007-01-19.

As of what date was the information pertaining to Dermatology Centre Of Northeast Ohio, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dermatology Centre Of Northeast Ohio, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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