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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INDIVIDUAL

Active Organization

INDIVIDUAL is a Preferred Provider Organization organization located in CANTON, Ohio. NPI 1720537780 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · CANTON, OH

Registration Details

NPI Number
1720537780
Provider Type
Organization
NPI Issued
Sep 30, 2016 (9.9082717576093 yrs)
Last Updated
Sep 30, 2016

Practice Information

Address
1111 GONDER AVENUE SE
CANTON, OH, 44707
Browse OH providers · Browse ZIP 44707
Phone
3302090732
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in CANTON, OH

Name NPI
TYFENN PEEPS LLC 1558247924
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.