Healthcare Provider Details
I. General information
NPI: 1447299367
Provider Name (Legal Business Name): ANESTHESIA AND PAIN CENTER OF AKRON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3975 EMBASSY PKWY SUITE 202A
AKRON OH
44333-8320
US
IV. Provider business mailing address
744 W MICHIGAN AVE
JACKSON MI
49201-1909
US
V. Phone/Fax
- Phone: 330-670-4185
- Fax:
- Phone: 517-787-6440
- Fax: 517-787-4146
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANK
KOUSAIE
JR.
Title or Position: OWNER
Credential: MD
Phone: 330-670-4185