Sunshine Pediatrics LLC
Pediatrics in West Jefferson, OH. Organization (NPI-2).
NPI number1881908358
StatusActive
Last updated in NPPESJan 12, 2011
Details
- NPI
- 1881908358
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunshine Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2010
- Last updated
- Jan 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 34009435 | OH | Yes |
Practice location
487 W Main StWest Jefferson, OH 43162-1178
Phone 419-529-7236
Mailing address
487 W Main StWest Jefferson, OH 43162-1178
Authorized official
Dana E. Lenhart
Physician
4195297236
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