Organization
NORTHCOAST PROFESSIONAL COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS SHRIVER (VICE PRESIDENT)
(419) 557-5540
Entity
Organization
Contact information
Practice address
1221 HAYES AVE, SUITE B, SANDUSKY, OH 44870-3345
(419) 557-6550
Mailing address
1031 PIERCE ST, SANDUSKY, OH 44870-4669
(419) 557-5541
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CTP17519-NP
OH
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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