Ohio Northern University
Specialty details in registry · Ada, OH
At a glance
511 W Lincoln Ave, Ada, OH 45810
NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.
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Practice location
511 W Lincoln AveAda, OH 45810
Additional reported practice locations
525 S Main StAda, OH 458106000
Phone: 4197722319 525 S Main St
Ada, OH 45810
Phone: 4197722319
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 333600000X
- Enumeration date
- Sep 26, 2017
- Record updated
- Jul 21, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
333600000X · Primary
Specialty details in registry
3336C0003X
License reported: 022816750 OH
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
511 W Lincoln AveAda, OH 45810
- Phone
- (419) 772-3784
- Fax
- (419) 772-3783
Mailing address
525 S MAIN STADA, OH 458106000
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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