| |
540 E Main St, Canfield, OH 44406-1541 | |
(330) 533-3351 | |
(330) 533-8966 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 540 E Main St, Canfield, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730213992 | NPI | - | NPPES |
2777375 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Ohio) | Secondary |
207Q00000X | Family Medicine | (Ohio) | Primary |
208100000X | Physical Medicine & Rehabilitation | (Ohio) | Secondary |
Mailing Address | Practice Location Address |
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540 E Main St, Canfield, OH 44406-1541 Ph: (330) 533-3351 | 540 E Main St, Canfield, OH 44406-1541 Ph: (330) 533-3351 |