| Center For Digestive Health Inc | |
|
34940 Ridge Rd Ste B Willoughby OH 44094-4196 | |
| (440) 953-1899 | |
| (440) 953-9281 |
| Full Name | Center For Digestive Health Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 34940 Ridge Rd, Willoughby, Ohio |
| Authorized Official Name and Position | Neil A Jacobson (PRESIDENT) |
| Authorized Official Contact | 4409531899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Digestive Health Inc 34940 Ridge Rd Ste B Willoughby OH 44094-4196 Ph: (440) 953-1899 | Center For Digestive Health Inc 34940 Ridge Rd Ste B Willoughby OH 44094-4196 Ph: (440) 953-1899 |
| NPI Number | 1932184165 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932184165 | NPI | - | NPPES |
| 2055341 | Medicaid | OH | |
| 2156563 | Medicaid | OH | |
| 2056368 | Medicaid | OH | |
| 2056448 | Medicaid | OH | |
| CA2499 | Other | OH | PALMETTO GBA-RAILROAD MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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