Healthcare Provider Details

I. General information

NPI: 1801238704
Provider Name (Legal Business Name): THOMAS CARL APPEL PC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 SMITH RD
BROOKPARK OH
44142-2026
US

IV. Provider business mailing address

41 WASHINGTON AVE
NILES OH
44446-2433
US

V. Phone/Fax

Practice location:
  • Phone: 216-453-1112
  • Fax:
Mailing address:
  • Phone: 330-652-4495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1100105
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: