Organization Name: | MY FAMILY PRACTICE INC |
NPI Number: | 1033270137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAMUS WALSH (VICE PRESIDENT) |
Mailing Address: | 29257 Center Ridge Rd Westlake |
State: | OH US |
Postal Code: | 441455224 |
Phone Number: | 4408997677 |
Fax Number: | 4408997667 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |