Healthcare Provider Details

I. General information

NPI: 1407808553
Provider Name (Legal Business Name): NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST
AKRON OH
44310-3110
US

IV. Provider business mailing address

PO BOX 92168
CLEVELAND OH
44191-2168
US

V. Phone/Fax

Practice location:
  • Phone: 330-376-1902
  • Fax: 330-376-1599
Mailing address:
  • Phone: 888-328-4472
  • Fax: 330-493-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAWRENCE M SALTIS
Title or Position: PRESIDENT
Credential: MD
Phone: 330-376-1902