David L Weldy Md Inc

LBN: Mantua Family Healthcare
David L Weldy Md Inc is an health care organization with primary practice located at 6693 N Chestnut St 10A&B, Ravenna OH 44266-3922. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Mantua Family Healthcare can be contacted via phone (419) 861-3451, or through Weldy, Ann C via phone (419) 861-3451.

Contact Information

Primary practice address
6693 N Chestnut St 10A&B Ravenna OH 44266-3922
Phone: (419) 861-3451
Fax: (419) 861-3451
Website:
Map and Directions
Authorized official contact:
Name: Weldy, Ann C
Phone: (419) 861-3451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35052329W Ohio

Profile Details

NPI number 1588862163
LBN Legal business name Mantua Family Healthcare
DBA Doing business as David L Weldy Md Inc
Authorized official Weldy, Ann C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588862163 NPPES
Ohio Other 000000134223 ANTHEM
Ohio Other 01594 ANTHEM
Ohio Other 100766 ANTHEM
Ohio Other Q015911A ANTHEM
Ohio MEDICAID 0649249 ANTHEM
Ohio Other 314502699-00 ANTHEM

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