1538291463 NPI number — MR. DONALD SHERMAN BUCHANAN PNP-C

Table of content: MR. DONALD SHERMAN BUCHANAN PNP-C (NPI 1538291463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538291463 NPI number — MR. DONALD SHERMAN BUCHANAN PNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCHANAN
Provider First Name:
DONALD
Provider Middle Name:
SHERMAN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PNP-C
Provider Gender Code:
M

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:
1538291463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 PERKINS SQ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44308-1063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-424-9866
Provider Business Mailing Address Fax Number:
330-424-7689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
330 N MARKET ST # B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LISBON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44432-1146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-424-9866
Provider Business Practice Location Address Fax Number:
330-424-7689
Provider Enumeration Date:
03/09/2007

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: 363L00000X , with the licence number:  COA.08916-NP , 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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