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SKILL DOC 101 LLC NPI 1043647803


NPI Information

NPI: 1043647803
Provider Name: SKILL DOC 101, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4580 STEPHENS CIR NW STE 202
CANTON, OH
ZIP 44718
Phone: (330) 754-4431
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SKILL DOC 101, LLC is an internal medicine in Canton, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SKILL DOC 101, LLC NPI is 1043647803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4580 STEPHENS CIR NW STE 202
CANTON, OH
ZIP 44718-645
Phone: (330) 754-4431
Fax: (330) 244-8839

The provider's authorized official is Brian Mcclain .
The authorized official title is Ceo and has the following contact phone number (330) 754-4431.

The enumeration date for this NPI number is 10/10/2013 and was last updated on 10/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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