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INNOVATIVE WOUND CARE ASSOCIATES INC NPI 1881035343


NPI Information

NPI: 1881035343
Provider Name: INNOVATIVE WOUND CARE ASSOCIATES, INC

Former Legal Business Name: NATURE-ALL INC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
790 BOARDMAN CANFIELD RD STE 3
BOARDMAN, OH
ZIP 44512
Phone: (866) 758-4862
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INNOVATIVE WOUND CARE ASSOCIATES, INC is a vascular surgery surgery in Boardman, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. INNOVATIVE WOUND CARE ASSOCIATES, INC NPI is 1881035343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Nature-all Inc.

The provider's business location address is:

790 BOARDMAN CANFIELD RD STE 3
BOARDMAN, OH
ZIP 44512-344
Phone: (866) 758-4862
Fax: (330) 758-4886

The provider's authorized official is John P Balko .
The authorized official title is Director and has the following contact phone number (724) 347-0591.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 7/17/2013.


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
12086S0129XSurgeryVascular SurgeryOHIONo
22086S0129XSurgeryVascular Surgery3951291PENNSYLVANIAYes

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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