Healthcare Provider Details

I. General information

NPI: 1730273640
Provider Name (Legal Business Name): NORTHCOAST HAND CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26908 DETROIT RD SUITE 200
WESTLAKE OH
44145-2398
US

IV. Provider business mailing address

26908 DETROIT RD SUITE 200
WESTLAKE OH
44145-2398
US

V. Phone/Fax

Practice location:
  • Phone: 440-871-6060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN B EVANS JR.
Title or Position: OWNER
Credential: MD
Phone: 440-871-6060