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Contact Information

A4 MANAGEMENT COMPANY, LLC
LBN A4 OF OHIO, LLC
5959 MONCLOVA RD
MAUMEE, OH43537-1888
 Phone: 419-893-5911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for A4 MANAGEMENT COMPANY, LLC

NPI Number 1255996567
LBN Legal business name A4 OF OHIO, LLC
DBA Doing business as A4 MANAGEMENT COMPANY, LLC
Authorized official TRACI COFFMAN - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/02/2019
Last updated 08/06/2019 - About 1 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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