Organization
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA FREDERICK (CEO)
(419) 626-6161
Entity
Organization
Contact information
Practice address
2500 W STRUB RD STE 150, SANDUSKY, OH 44870-5488
(419) 626-4162
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253556
—
OH
Enumeration date
09/26/2022
Last updated
09/26/2022
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