Canton Internal Medicine Associates Ince

LBN: Canton Internal Medicine Associates Ince
Canton Internal Medicine Associates Ince is an health care organization with primary practice located at 4076 Holiday St Nw , Canton OH 44718. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Canton Internal Medicine Associates Ince can be contacted via phone (330) 492-3738, or through Diehl, Stacy Lynn via phone (330) 833-5692.

Contact Information

Primary practice address
4076 Holiday St Nw Canton OH 44718
Phone: (330) 492-3738
Fax: (330) 492-5640
Website:
Map and Directions
Authorized official contact:
Name: Diehl, Stacy Lynn
Phone: (330) 833-5692

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OH35060119 Ohio

Profile Details

NPI number 1518908698
LBN Legal business name Canton Internal Medicine Associates Ince
DBA Doing business as
Authorized official Diehl, Stacy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518908698 NPPES
Ohio MEDICAID 0792898

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