| NPI | 1497714380 |
|---|---|
| Other Name | PHYSICIAN BILLING |
| Entity Type | Organization |
| Authorized Contact | TIM LONGVILLE Chief Accounting Officer And Contro 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 4029) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 4029) |
| 363L00000X Nurse Practitioner (Licence: FL 4029) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-02-23 |