Doctor Name: | MR. DAVID S PARADIS |
NPI Number: | 1790853505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | P001084 |
Business Practice Address: | 4235 Secor Rd #b3 Toledo, OH - 436234231 |
Business Phone Number: | 4194795960 |
Business Fax Number: | |
Mailing Address: | 5705 Dorr St, Suite 3 TOLEDO |
State: | OH |
Postal Code: | 436154467 |
Phone Number: | 4195397701 |
Fax Number: | 4195397718 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | P001084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |