Central Ohio Neurology Inc | |
370 Cline Avenue Ste C5 Mansfield OH 44907-1057 | |
(419) 756-6990 | |
(419) 756-0944 |
Full Name | Central Ohio Neurology Inc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 370 Cline Avenue, Mansfield, Ohio |
Authorized Official Name and Position | Raymond J Baddour (OWNER) |
Authorized Official Contact | 4197566990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Ohio Neurology Inc 370 Cline Ave Ste C5 Mansfield OH 44907-1057 Ph: (419) 756-6990 | Central Ohio Neurology Inc 370 Cline Avenue Ste C5 Mansfield OH 44907-1057 Ph: (419) 756-6990 |
NPI Number | 1619010535 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 08/27/2012 |
Medicare PECOS PAC ID | 2163553595 |
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Medicare Enrollment ID | O20100629000815 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619010535 | NPI | - | NPPES |
2877801 | Medicaid | OH | |
606176800 | Other | OH | DEPT OF LABOR ID |
30022664 | Other | OH | RAILROAD MEDICARE |
000000182209 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Raymond J Baddour |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1508875634 PECOS PAC ID: 3971634304 Enrollment ID: I20100629000840 |
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