<Unavail>

LBN: Othello R Repuyan Md
<Unavail> is an health care organization with primary practice located at 4188 Holiday St Nw , Canton OH 44718. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Othello R Repuyan Md can be contacted via phone (330) 492-4277, or through Repuyan, Othello R via phone (330) 492-4277.

Contact Information

Primary practice address
4188 Holiday St Nw Canton OH 44718
Phone: (330) 492-4277
Fax: (330) 492-6973
Website:
Map and Directions
Authorized official contact:
Name: Repuyan, Othello R Doctor of Medicine (MD)
Phone: (330) 492-4277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1437254398
LBN Legal business name Othello R Repuyan Md
DBA Doing business as <Unavail>
Authorized official Repuyan, Othello R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 17th, 2008 - about 18 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 1437254398 NPPES
Ohio MEDICAID 2651750

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