Distel, Laura M.

Distel, Laura M. is an individual health care provider with primary practice located at 185 Wadsworth Rd Suite D, Wadsworth OH 44281-8330. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Distel, Laura M. can be contacted via phone (330) 331-7106.

Contact Information

Primary practice address
185 Wadsworth Rd Suite D Wadsworth OH 44281-8330
Phone: (330) 331-7106
Fax: (330) 331-7556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35093592 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35093592 Ohio

Profile Details

NPI number 1225156672
LBN Legal business name Distel, Laura M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jan 18th, 2018 - about 7 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 1225156672 NPPES
Ohio MEDICAID 3090926

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