Healthcare Provider Details

I. General information

NPI: 1558944785
Provider Name (Legal Business Name): FOUAD EL BACH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 CORPORATE WOODS PKWY
UNIONTOWN OH
44685-8730
US

IV. Provider business mailing address

2215 E WATERLOO RD STE 313
AKRON OH
44312-3856
US

V. Phone/Fax

Practice location:
  • Phone: 330-208-2720
  • Fax: 330-208-2721
Mailing address:
  • Phone: 330-208-2720
  • Fax: 330-208-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number34.016120
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: