Organization
ALLIANCE NEUROLOGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL E KLINE (CONTRACT CREDENTIALING)
(330) 829-9389
Entity
Organization
Contact information
Practice address
1914 S UNION AVE, ALLIANCE, OH 44601-4355
(330) 829-9389
(330) 829-9372
Mailing address
270 E STATE ST, SUITE 140, ALLIANCE, OH 44601-4957
(330) 823-4044
(330) 829-9372
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35047526S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511066
—
OH
Enumeration date
11/09/2006
Last updated
08/22/2020
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