Organization
HEALTH CARE PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHARLES DEMIDOVICH DO (PRESIDENT)
(330) 533-8490
Entity
Organization
Contact information
Practice address
6674 TIPPECANOE RD STE 1, CANFIELD, OH 44406-9149
(330) 533-8490
(330) 533-8783
Mailing address
6674 TIPPECANOE RD STE 1, CANFIELD, OH 44406-9149
(330) 533-8490
(330) 533-8783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881550
—
OH
01
—
CD0438
MEDICARE TRAVELERS
OH
Enumeration date
12/20/2005
Last updated
05/29/2019
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