Organization
HNI EMERGENCY SERVICES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CARLETTI (VP OF OPERATIONS)
(330) 727-3530
Entity
Organization
Contact information
Practice address
22501 CHAGRIN BLVD, BEACHWOOD, OH 44122
(440) 542-5000
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3056
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/27/2019
Last updated
11/16/2020
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