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Contact Information

DRS. DETRICK & DETRICK INC.
5757 MONCLOVA ROAD
SUITE 14
MAUMEE, OH43537
 Phone: 419-893-3316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for DRS. DETRICK & DETRICK INC.

NPI Number 1114144300
LBN Legal business name DRS. DETRICK & DETRICK INC.
Authorized official CYNDEE DETRICK - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 04/22/2008 - About 11 years ago
Identifiers
OH License # 032039822
OH License # RN113039
OH Other CB3101 MEDICARE RAILROAD
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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