Stark County Internal Medicine Inc

LBN: Stark County Internal Medicine Inc
Stark County Internal Medicine Inc is an health care organization with primary practice located at 1401 S Main St Suite 101, North Canton OH 44720-4289. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Stark County Internal Medicine Inc can be contacted via phone (330) 497-8636, or through Oberly, Julie Lynn via phone (330) 497-8636.

Contact Information

Primary practice address
1401 S Main St Suite 101 North Canton OH 44720-4289
Phone: (330) 497-8636
Fax: (330) 497-8634
Website:
Map and Directions
Authorized official contact:
Name: Oberly, Julie Lynn Doctor of Medicine (MD)
Phone: (330) 497-8636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35076929-O Ohio

Profile Details

NPI number 1083892525
LBN Legal business name Stark County Internal Medicine Inc
DBA Doing business as
Authorized official Oberly, Julie Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Jun 4th, 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 1083892525 NPPES
Ohio MEDICAID 2243594
Ohio Other SP00931

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