Samuel T. Detwiler, D.O. Llc in Kinsman - Family

Samuel T. Detwiler, D.O. Llc - NPI 1578648895

Samuel T. Detwiler, D.O. Llc is a Family in Kinsman, Ohio. Samuel T. Detwiler, D.O. Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Samuel T. Detwiler, D.O. Llc is 1578648895. The last update date is 2007-09-09.

Samuel T. Detwiler, D.O. Llc's current location address is 8231 Main St, Kinsman, Ohio. You can contact this provider via phone number 3308761111 and fax number 3308761005. The mailing address for Samuel T. Detwiler, D.O. Llc is 8231 Main St, Kinsman, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Samuel T. Detwiler, D.O. Llc
Address 8231 Main St, Kinsman, Ohio
Phone Number 3308761111
Fax Number 3308761005
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Detwiler T Samuel
Credentials D.O. LLC
Telephone Number 3308761111

NPI Number Detail

NPI Number 1578648895
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-09-09

Provider Mailing Address Detail

Address 8231 Main St
City Kinsman
State Ohio (OH)
Post Code 444289514
Phone Number 3308761111
Fax Number 3308761005

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No NP-04053
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2760016 OH --

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FAQs about Samuel T. Detwiler, D.O. Llc

What is the Samuel T. Detwiler, D.O. Llc's unique identification number?

The Samuel T. Detwiler, D.O. Llc has been assigned the NPI (National Provider Identifier) Number 1578648895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Samuel T. Detwiler, D.O. Llc is located?

The Samuel T. Detwiler, D.O. Llc is situated at the following address: 8231 Main St, Kinsman, OH, 444289514.

What is Samuel T. Detwiler, D.O. Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel T. Detwiler, D.O. Llc's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date was the 1578648895 assigned to Samuel T. Detwiler, D.O. Llc?

The Samuel T. Detwiler, D.O. Llc was issued its 1578648895 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Samuel T. Detwiler, D.O. Llc most recently updated or revised?

The information pertaining to Samuel T. Detwiler, D.O. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-09.

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