Organization
CLEARWATER BILLING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA L. THESING (OFFICE MANAGER)
(330) 331-7207
Entity
Organization
Contact information
Practice address
195 WADSWORTH RD., SUITE 402, WADSWORTH, OH 44281
(330) 331-7207
(330) 331-7587
Mailing address
PO BOX 1243, BATH, OH 44210-1243
(330) 331-7207
(330) 331-7587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140056
—
OH
Enumeration date
11/18/2009
Last updated
08/10/2011
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