<Unavail>

LBN: Diana Brewster, D.O., Llc
<Unavail> is an health care organization with primary practice located at 4124 Fulton Dr Nw Ste 101, Canton OH 44718-2852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Diana Brewster, D.O., Llc can be contacted via phone (330) 433-9260, or through Brewster, Diana via phone (330) 433-9260.

Contact Information

Primary practice address
4124 Fulton Dr Nw Ste 101 Canton OH 44718-2852
Phone: (330) 433-9260
Fax: (330) 433-9263
Website:
Map and Directions
Authorized official contact:
Name: Brewster, Diana Doctor of Osteopathy (DO)
Phone: (330) 433-9260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007790 Ohio

Profile Details

NPI number 1881097087
LBN Legal business name Diana Brewster, D.O., Llc
DBA Doing business as <Unavail>
Authorized official Brewster, Diana Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 12 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 1881097087 NPPES
Ohio MEDICAID 2399855

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