App Of Ohio Ed PLLC
Emergency Medicine in Maumee, OH. Organization (NPI-2).
NPI number1619418696
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1619418696
- Entity type
- Organization (NPI-2)
- Legal business name
- App Of Ohio Ed PLLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2017
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
5901 Monclova RdMaumee, OH 43537-1841
Phone 419-893-5911 · Fax 629-216-0568
Mailing address
5121 Maryland Way Ste 300Brentwood, TN 37027-7516
Phone 855-246-8607 · Fax 629-216-0568
Authorized official
James Grimes
Cfo
8552468607
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