Western Reserve Vascular Institute
LBN: Western Reserve Vascular Institute
Western Reserve Vascular Institute is an health care organization with primary practice located at 813 Kentwood Dr , Boardman OH 44512-5004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Western Reserve Vascular Institute can be contacted via phone (330) 953-3515, or through Protain, Joseph G via phone (330) 953-3515.
Contact Information
Primary practice address
813 Kentwood Dr
Boardman OH 44512-5004
Phone: (330) 953-3515
Fax: (330) 953-0313
Website:
Authorized official contact:
Name: Protain, Joseph G Doctor of Osteopathy (DO)
Phone: (330) 953-3515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 34-008446 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | Ohio |
Profile Details
| NPI number | 1104082031 |
|---|---|
| LBN Legal business name | Western Reserve Vascular Institute |
| DBA Doing business as | |
| Authorized official | Protain, Joseph G Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Jun 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104082031 | NPPES |
| Ohio | MEDICAID | 2688846 |
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