Healthcare Provider Details

I. General information

NPI: 1881193589
Provider Name (Legal Business Name): CYNTHIA MCGUIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 WABASH AVE NW
NEW PHILADELPHIA OH
44663-4143
US

IV. Provider business mailing address

201 HOSPITAL DR
DOVER OH
44622-2058
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-3050
  • Fax: 330-343-8188
Mailing address:
  • Phone: 330-343-6631
  • Fax: 330-343-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: