Addis, Karen A

Addis, Karen A is an individual health care provider with primary practice located at 4665 Douglas Cir Nw Suite 101, Canton OH 44718-3673. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Addis, Karen A can be contacted via phone (330) 489-1698.

Contact Information

Primary practice address
4665 Douglas Cir Nw Suite 101 Canton OH 44718-3673
Phone: (330) 489-1698
Fax: (330) 489-1325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN200862 Ohio

Profile Details

NPI number 1083666747
LBN Legal business name Addis, Karen A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083666747 NPPES
Ohio MEDICAID 0991584
Ohio Other 000000257673

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