1164649190 NPI number — DRS. KANE AND BIHN, 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 1164649190 NPI number — DRS. KANE AND BIHN, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS. KANE AND BIHN, 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:
1164649190
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1103 VILLAGE SQUARE DR.
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
PERRYSBURG
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43551-1762
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-874-4840
Provider Business Mailing Address Fax Number:
419-874-0665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1103 VILLAGE SQUARE DR.
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
PERRYSBURG
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43551-1762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-874-4840
Provider Business Practice Location Address Fax Number:
419-874-0665
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BIHN
Authorized Official First Name:
GERALD
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT & DOCTOR
Authorized Official Telephone Number:
419-874-4840

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  35059322B , 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)

  • Identifier: 26854783600 . This is a "BWC FOR GTB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2000542 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000167533 . This is a "ANTHEM FOR GTB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 01287 . This is a "PHC FOR GTB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0843216 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 268547836015 . This is a "MMO & HMO FOR GTB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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