Organization
NORTH COAST PROFESSIONAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MOORE (EXECUTIVE VICE PRESIDENT)
(419) 557-5541
Entity
Organization
Contact information
Practice address
1912 HAYES AVE STE 1E, SANDUSKY, OH 44870-4736
(419) 557-5541
(419) 557-5542
Mailing address
1912 HAYES AVE STE 1E, SANDUSKY, OH 44870-4736
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021707
—
OH
Enumeration date
05/20/2006
Last updated
08/24/2022
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