1679110860 NPI number — ROBERT K. LOMAS

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 1679110860 NPI number — ROBERT K. LOMAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT K. LOMAS
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:
1679110860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
418 BIRCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAUSEON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43567-1409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
567-454-6254
Provider Business Mailing Address Fax Number:
419-754-2647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
418 BIRCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUSEON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43567-1409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
567-454-6254
Provider Business Practice Location Address Fax Number:
419-754-2647
Provider Enumeration Date:
12/06/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOMAS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
567-454-6254

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0264946 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".