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EXCLUSIVELY SKIN LLC NPI 1891204285


NPI Information

NPI: 1891204285
Provider Name: EXCLUSIVELY SKIN LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2143523

Address:
9565 MIDWEST AVE STE C
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (216) 508-6500
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EXCLUSIVELY SKIN LLC is a family medicine in Garfield Heights, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EXCLUSIVELY SKIN LLC NPI is 1891204285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9565 MIDWEST AVE STE C
GARFIELD HEIGHTS, OH
ZIP 44125-421
Phone: (216) 508-6500
Fax: (216) 508-6501

The provider's authorized official is Tracy Lynette Ringo .
The authorized official title is Owner/physician and has the following contact phone number (216) 508-6500.

The CLIA number assigned to this NPI record is 36D2143523 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 12/8/2017.


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
1207Q00000XFamily Medicine34007796OHIOYes

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: 11/14/2023

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