Western Reserve Profess in Kent - Pain Medicine

Western Reserve Profess - NPI 1356308407

Western Reserve Profess is a Pain Medicine in Kent, Ohio. Western Reserve Profess practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Western Reserve Profess is 1356308407. The last update date is 2007-10-24.

Western Reserve Profess's current location address is 307 W Main St, Kent, Ohio. You can contact this provider via phone number 3306773628 and fax number 3306773626. The mailing address for Western Reserve Profess is 307 W Main St, Kent, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Reserve Profess
Address 307 W Main St, Kent, Ohio
Phone Number 3306773628
Fax Number 3306773626
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Semancik Ann Kelly
Telephone Number 3306773628

NPI Number Detail

NPI Number 1356308407
Provider Enumeration Date 2006-05-01
Last Updated Date 2007-10-24

Provider Mailing Address Detail

Address 307 W Main St
City Kent
State Ohio (OH)
Post Code 442402400
Phone Number 3306773628
Fax Number 3306773626

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2081P2900X
Definition:
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2311331 OH --
2374434 OH --
251070 OH --
2082866 OH --

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FAQs about Western Reserve Profess

What is the unique 10-digit identifier code issued to Western Reserve Profess by the Centers for Medicare & Medicaid Services?

The Western Reserve Profess has been assigned the NPI (National Provider Identifier) 1356308407 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Western Reserve Profess's facilities are situated?

The facilities of Western Reserve Profess are physically located at the following address: 307 W Main St, Kent, OH, 442402400.

What is Western Reserve Profess's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Western Reserve Profess is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P2900X.

On what date did the Western Reserve Profess receive its 1356308407 assignment from the Centers for Medicare & Medicaid Services?

The Western Reserve Profess was assigned its 1356308407 by the Centers for Medicare & Medicaid Services on 2006-05-01.

As of what date was the information regarding Western Reserve Profess, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Western Reserve Profess, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-24.

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