| Organization Name: | UNIVERSITY PRIMARY CARE PRACTICES INC |
| NPI Number: | 1518096593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE RIDDLE (DIRECTOR OF BILLING SERVICES) |
| Mailing Address: | 158 West Main St Conneaut |
| State: | OH US |
| Postal Code: | 44030 |
| Phone Number: | 4405942759 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |