Edgar R Delacruz Md Inc

LBN: Edgar R Delacruz Md Inc
Edgar R Delacruz Md Inc is an health care organization with primary practice located at 715 E Shafer Ave , Dover OH 44622-2053. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Edgar R Delacruz Md Inc can be contacted via phone (330) 364-7764, or through Delacruz, Edgar Rodriguez via phone (330) 364-7764.

Contact Information

Primary practice address
715 E Shafer Ave Dover OH 44622-2053
Phone: (330) 364-7764
Fax: (330) 343-8162
Website:
Map and Directions
Authorized official contact:
Name: Delacruz, Edgar Rodriguez Doctor of Medicine (MD)
Phone: (330) 364-7764

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35043776 Ohio

Profile Details

NPI number 1477868305
LBN Legal business name Edgar R Delacruz Md Inc
DBA Doing business as
Authorized official Delacruz, Edgar Rodriguez Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2010
Last updated Nov 17th, 2011 - about 15 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 1477868305 NPPES
Ohio MEDICAID 3090533

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