NEW HORIZON DERMATOLOGY INC NPI 1285780031

NPI Information

NEW HORIZON DERMATOLOGY, INC is a specialist in Ravenna, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW HORIZON DERMATOLOGY, INC NPI is 1285780031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6693 N CHESTNUT ST STE 125A
RAVENNA, OH
ZIP 44266-900
Phone: (330) 296-2879
Fax: (330) 296-4656

The provider's authorized official is Michelle A Jahnke .
The authorized official title is Owner and has the following contact phone number (330) 296-2879.

The CLIA number assigned to this NPI record is 36D0690123 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/26/2007 and was last updated on 5/2/2008.

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:

Other Identifiers

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