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NPI Code Detail

MEDICARE: WILLIAM L EPPICH DPT

MEDICARE: WILLIAM L EPPICH DPT
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
1225100000XPhysical Therapist011535OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29304631OTHEROHMEDICARE GROUP ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922291715
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM L EPPICH DPT
Provider Business Mailing Address
First Line : 1652 N SHORE DR
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-4679
Country : US
Telephone Number : 440-357-9704
Fax Number :
Provider Business Practice Location Address
First Line : 9002 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6302
Country : US
Telephone Number : 440-266-1901
Fax Number : 440-266-1902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 10/28/2009

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