Healthcare Provider Details

I. General information

NPI: 1215469390
Provider Name (Legal Business Name): CLAIRE ELIZABETH OLIVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4139 BOARDMAN CANFIELD RD STE 2
CANFIELD OH
44406-9034
US

IV. Provider business mailing address

4139 BOARDMAN CANFIELD RD STE 2
CANFIELD OH
44406-9034
US

V. Phone/Fax

Practice location:
  • Phone: 330-967-4224
  • Fax: 330-967-4226
Mailing address:
  • Phone: 330-967-4224
  • Fax: 330-967-4226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35.155383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: