Healthcare Provider Details

I. General information

NPI: 1609969401
Provider Name (Legal Business Name): NORTHWEST OHIO NEONATAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD 3RD FLOOR MAIN HOSPITAL
TOLEDO OH
43606-3895
US

IV. Provider business mailing address

2142 N COVE BLVD 3RD FLOOR MAIN HOSPITAL
TOLEDO OH
43606-3895
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-4225
  • Fax: 419-479-6193
Mailing address:
  • Phone: 419-291-4225
  • Fax: 419-479-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateOH

VIII. Authorized Official

Name: BARBARA A CHAPPELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 419-291-2237