1235433558 NPI number — DR. STEPHANIE MICHELE OUHADI DPM

Table of content: DR. STEPHANIE MICHELE OUHADI DPM (NPI 1235433558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235433558 NPI number — DR. STEPHANIE MICHELE OUHADI DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OUHADI
Provider First Name:
STEPHANIE
Provider Middle Name:
MICHELE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MERROW
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
MICHELE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1235433558
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4560 OBERLIN AVE STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LORAIN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44053-3195
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-282-7387
Provider Business Mailing Address Fax Number:
440-282-7388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4560 OBERLIN AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LORAIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44053-3195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-282-7387
Provider Business Practice Location Address Fax Number:
440-282-7388
Provider Enumeration Date:
12/29/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  36.003598 , 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)





Copyright © 2007-2025 www.npivalidator.com