<Unavail>
LBN: Western Reserve Profess
<Unavail> is an health care organization with primary practice located at 307 W Main St , Kent OH 44240-2400. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Western Reserve Profess can be contacted via phone (330) 677-3628, or through Semancik, Kelly Ann via phone (330) 677-3628.
Contact Information
Primary practice address
307 W Main St
Kent OH 44240-2400
Phone: (330) 677-3628
Fax: (330) 677-3626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X |
Profile Details
| NPI number | 1356308407 |
|---|---|
| LBN Legal business name | Western Reserve Profess |
| DBA Doing business as | <Unavail> |
| Authorized official | Semancik, Kelly Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 24th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356308407 | NPPES |
| Ohio | MEDICAID | 2311331 | |
| Ohio | MEDICAID | 2374434 | |
| Ohio | MEDICAID | 0251070 | |
| Ohio | MEDICAID | 2082866 |
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