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ADVANCED NEUROLOGIC ASSOCIATES INC NPI 1588978563


NPI Information

NPI: 1588978563
Provider Name: ADVANCED NEUROLOGIC ASSOCIATES, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1250 FULTON ST
PORT CLINTON, OH
ZIP 43452
Phone: (419) 483-2403
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ADVANCED NEUROLOGIC ASSOCIATES, INC is a neurology psychiatry neurology in Port Clinton, 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 1588978563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1250 FULTON ST
PORT CLINTON, OH
ZIP 43452-296
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 8/2/2010 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19327871MEDICARE PINOHIO
26406400003MEDICARE NSCOHIO
3CL1664OTHEROHIORAILROAD MEDICARE
42383620MEDICAIDOHIO

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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