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Contact Information

PROMEDICA CENTRAL PHYSICIANS, LLC
2109 HUGHES DR
SUITE 860
TOLEDO, OH43606-3856
 Phone: 419-291-7010
 Fax: 419-479-6917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PROMEDICA CENTRAL PHYSICIANS LLC · (Female)

NPI Number 1144365669
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0999273
  • OH Other 7075625 AETNA
  • OH Other CI3157 RRMC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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