Organization · NPI-2
A4 Of Ohio, LLC
Anesthesiology · Toledo, OH
NPI number1255996567
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1255996567
- Entity type
- Organization (NPI-2)
- Legal business name
- A4 Of Ohio, LLC
- Organization subpart
- Yes
- Enumeration date
- May 2, 2019
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | |
| 367H00000X | Anesthesiologist Assistant | – | – |
Other names
- A4 Management Company, LLC (Other Name)
Practice location
4235 Secor RdToledo, OH 43623-4299
Phone 419-473-3561 · Fax 419-214-1979
Mailing address
2006 Hogback Rd Ste 5aAnn Arbor, MI 48105-9750
Phone 734-263-2400 · Fax 734-773-3471
Other practice locations
3330 Meijer Dr
Toledo, OH 43617-3103
Toledo, OH 43617-3103
Phone 419-578-2020 · Fax 419-539-6323
Authorized official
Traci Coffman
Owner
7342632400
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