Organization Name: | BRIAN R. CAIN, M.D. AND ASSOCIATES |
NPI Number: | 1306294947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN R. CAIN (PRESIDENT) |
Mailing Address: | 650 S Prospect Ave Suite 202 Hartville |
State: | OH US |
Postal Code: | 446328904 |
Phone Number: | 3308773008 |
Fax Number: | 3308773032 |
NPI Enumeration Date: | 05/24/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 35061748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |