| Premise Health Of Ohio Medical, P.a | |
|
142 S Van Buren Ave Barberton OH 44203-3543 | |
| (330) 745-4812 | |
| (330) 745-5464 |
| Full Name | Premise Health Of Ohio Medical, P.a |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 142 S Van Buren Ave, Barberton, Ohio |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Ohio Medical, P.a 142 S Van Buren Ave Barberton OH 44203-3543 Ph: (330) 745-4812 | Premise Health Of Ohio Medical, P.a 142 S Van Buren Ave Barberton OH 44203-3543 Ph: (330) 745-4812 |
| NPI Number | 1710281472 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710281472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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