Doctor Name: | MS. JANICE LOUISE TODD |
NPI Number: | 1003093402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 50-000622 |
Business Practice Address: | 1730 W 25th St Cleveland, OH - 441133108 |
Business Phone Number: | 2166964300 |
Business Fax Number: | 2166967269 |
Mailing Address: | 1730 W 25th St, Suite 122 CLEVELAND |
State: | OH |
Postal Code: | 441133108 |
Phone Number: | 2163632475 |
Fax Number: | 2166967269 |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50-000622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |