1295935773 NPI number — WE CARE MEDICAL OF AMERICA, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295935773 NPI number — WE CARE MEDICAL OF AMERICA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WE CARE MEDICAL OF AMERICA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295935773
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1375 STATE ROUTE 131
Provider Second Line Business Mailing Address:
SUITE C1
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45150-2961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1375 STATE ROUTE 131
Provider Second Line Business Practice Location Address:
SUITE C1
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45150-2961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-260-3318
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COOMES
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-260-3318

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  HMEL. 11275 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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