Healthcare Provider Details

I. General information

NPI: 1801936745
Provider Name (Legal Business Name): MAPA & MAPA MD. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W 5TH ST
EAST LIVERPOOL OH
43920-2901
US

IV. Provider business mailing address

142 W 5TH ST
EAST LIVERPOOL OH
43920-2901
US

V. Phone/Fax

Practice location:
  • Phone: 330-385-2273
  • Fax: 330-385-2890
Mailing address:
  • Phone: 330-385-2273
  • Fax: 330-385-2890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number35037187M
License Number StateOH

VIII. Authorized Official

Name: DR. HELOUISE C MAPA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-385-2273