CARA DERCK DO LLC NPI 1477327070

NPI Information

NPI: 1477327070
Provider Name: CARA DERCK DO, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
16530 W RIVER RD
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 619-0670
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CARA DERCK DO, LLC is a clinic center in Bowling Green, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CARA DERCK DO, LLC NPI is 1477327070. The provider is registered as an organization entity type.

The provider's business location address is:

16530 W RIVER RD
BOWLING GREEN, OH
ZIP 43402-267
Phone: (419) 619-0670

The provider's authorized official is Cara Derck .
The authorized official title is Ceo and has the following contact phone number (419) 619-0670.

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/14/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				Yes

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

NPI Synchronization or Removal

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