Individual
JOHN A DEBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25000 CENTER RIDGE RD, WESTLAKE, OH 44145-4105
(440) 835-1040
(440) 835-1037
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34074939
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025820320001
—
PA
05
—
2230320
—
OH
01
—
P00908725
MEDICARE RAILROAD
OH
Enumeration date
08/09/2005
Last updated
06/17/2011
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