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AVON MEDICLINICLLC NPI 1962746958


NPI Information

NPI: 1962746958
Provider Name: AVON MEDICLINIC,LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2079033

Address:
1260 ABBE RD N
ELYRIA, OH
ZIP 44035
Phone: (440) 366-0455
Get Directions

AVON MEDICLINIC,LLC is a family medicine in Elyria, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVON MEDICLINIC,LLC NPI is 1962746958. The provider is registered as an organization entity type.

The provider's business location address is:

1260 ABBE RD N
ELYRIA, OH
ZIP 44035-649
Phone: (440) 366-0455
Fax: (440) 281-8839

The provider's authorized official is Sanrae J Onyeneke .
The authorized official title is President and has the following contact phone number (440) 506-5674.

The CLIA number assigned to this NPI record is 36D2079033 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 10/29/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareOHIONo
2207Q00000XFamily 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: 5/5/2024

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