Healthcare Provider Details
I. General information
NPI: 1215155379
Provider Name (Legal Business Name): JOHN HUBERT VOLLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 HAMPSHIRE RD
AKRON OH
44313-4337
US
IV. Provider business mailing address
305 HAMPSHIRE RD
AKRON OH
44313-4337
US
V. Phone/Fax
- Phone: 330-864-7993
- Fax: 330-864-0478
- Phone: 330-864-7993
- Fax: 330-864-0478
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 35037249 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: