| Ramic Boardman, Llc | |
|
1449 Boardman Canfield Rd Suite 140 Boardman OH 44512-8061 | |
| (330) 965-7370 | |
| (330) 965-7377 |
| Full Name | Ramic Boardman, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1449 Boardman Canfield Rd, Boardman, Ohio |
| Authorized Official Name and Position | Shawn J Smith (MEMBER) |
| Authorized Official Contact | 3304954821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramic Boardman, Llc 1449 Boardman Canfield Rd Suite 140 Boardman OH 44512-8061 Ph: (330) 965-7370 | Ramic Boardman, Llc 1449 Boardman Canfield Rd Suite 140 Boardman OH 44512-8061 Ph: (330) 965-7370 |
| NPI Number | 1639364334 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639364334 | NPI | - | NPPES |
| 2938030 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0838IC (Ohio) | Primary |
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