Healthcare Provider Details
I. General information
NPI: 1861568925
Provider Name (Legal Business Name): HEALTHRAPID INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6739 RIDGE RD
PARMA OH
44129
US
IV. Provider business mailing address
6739 RIDGE RD
PARMA OH
44129
US
V. Phone/Fax
- Phone: 440-887-9605
- Fax: 440-887-9606
- Phone: 440-887-9605
- Fax: 440-887-9606
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KRISTIN
D
MEIZIN
Title or Position: OFFICE MANAGER
Credential: MANAGER
Phone: 440-887-9605