ADVANCED NEUROLOGIC ASSOCIATES INC NPI 1033423736

NPI Information

  • NPI: 1033423736
  • Provider Name: ADVANCED NEUROLOGIC ASSOCIATES, INC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 1303 W STATE ST
    FREMONT, OH
    ZIP 43420
  • Phone: (419) 483-2403

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NPI Details

ADVANCED NEUROLOGIC ASSOCIATES, INC is a neurology psychiatry neurology in Fremont, OH. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ADVANCED NEUROLOGIC ASSOCIATES, INC NPI is 1033423736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1303 W STATE ST
FREMONT, OH
ZIP 43420-016
Phone: (419) 483-2403
Fax: (419) 484-1203

The provider's authorized official is Steven Benedict .
The authorized official title is President and has the following contact phone number (419) 483-2403.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 12/7/2010.

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
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CL1664OTHEROHIORAILROAD MEDICARE
26406400002MEDICARE NSCOHIO
3AD9327871MEDICARE PINOHIO
42383620MEDICAIDOHIO

What is NPI?

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This page was last updated on: 3/30/2025

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