Healthcare Provider Details

I. General information

NPI: 1316138415
Provider Name (Legal Business Name): OSNABURG LOCAL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 BROWNING CT N
EAST CANTON OH
44730-1248
US

IV. Provider business mailing address

310 BROWNING CT N
EAST CANTON OH
44730-1248
US

V. Phone/Fax

Practice location:
  • Phone: 330-488-1427
  • Fax: 330-488-4001
Mailing address:
  • Phone: 330-488-1427
  • Fax: 330-488-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE M ROBENSTINE
Title or Position: TREASURER
Credential:
Phone: 330-488-1427