Organization
PIONEER PHYSICIANS NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M KOSTELNICK (PRACTICE ADMINISTRATOR)
(330) 899-9350
Entity
Organization
Contact information
Practice address
4880 S MAIN ST, SUITE 4, AKRON, OH 44319-4474
(330) 644-2700
(330) 644-2797
Mailing address
3515 MASSILLON RD STE 300, UNIONTOWN, OH 44685-7854
(330) 899-9350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1244560008
DME SUPPLIER NUMBER
OH
Enumeration date
07/12/2006
Last updated
08/14/2020
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