Search › Ohio › 101YA0400X
John Smith
NPI 1235520602 · on the registry since 2015
Practice
- Address
- 17400 Northwood Ave
Lakewood, OH 44107 - Phone
- (216) 403-8640
- Fax
- (216) 862-1243
- Organisation at this address
- Old School Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio