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NPI Code Detail

MEDICARE: JAMES P LITWIN JR. CRNA

MEDICARE: JAMES P LITWIN JR. CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN292083-1OH
2367500000XCertified Registered Nurse AnesthetistRN357151LPA
3367500000XCertified Registered Nurse Anesthetist85103WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H061911OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629078381
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES P LITWIN JR. CRNA
Provider Business Mailing Address
First Line : 4135 BOARDMAN CANFIELD RD
Second Line : SUITE 101
City : CANFIELD
State : OH
Zip : 44406-9803
Country : US
Telephone Number : 330-286-5330
Fax Number : 330-286-5396
Provider Business Practice Location Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 04/08/2022

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