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NPI Code Detail

MEDICARE: FUNCTIONAL ENDOCRINOLOGY OF OHIO

MEDICARE: FUNCTIONAL ENDOCRINOLOGY OF OHIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN0400XNeurology ChiropractorOH00640OH

General Provider Information

NPI Number : 1275922585
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL ENDOCRINOLOGY OF OHIO
Provider Business Mailing Address
First Line : 2800 S ARLINGTON RD
Second Line : SUITE 100
City : AKRON
State : OH
Zip : 44312-4702
Country : US
Telephone Number : 330-644-5488
Fax Number : 330-644-9292
Provider Business Practice Location Address
First Line : 2800 S ARLINGTON RD
Second Line : SUITE 100
City : AKRON
State : OH
Zip : 44312-4702
Country : US
Telephone Number : 330-644-5488
Fax Number : 330-644-9292
Authorized Official
Title or Position : PRESIDENT
Name : MS. CAROLINE BOARDMAN
Credential :
Telephone Number : 330-644-5488
Provider Enumeration Date : 01/10/2015
Last Update Date : 01/10/2015

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2800 S ARLINGTON RD
AKRON, OH
44312-4702
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2800 S ARLINGTON RD , STE 102
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1386204907 — KAYLEE J PATTON
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Directions to “FUNCTIONAL ENDOCRINOLOGY OF OHIO ” Practice Location

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