Advanced Neurologic Associates, Inc
Organization Active NPI Neurology Physician · Sandusky, OH
NPI 1487968475 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1487968475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- ADVANCED NEUROLOGIC ASSOCIATES, INC
- Practice address
- 1200 Prospect St
Suite 302
Sandusky, OH 44870-3362 - Phone
- (419) 483-2403
- Fax
- (419) 484-1203
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Steven Benedict, MD
- Title
- President
- Phone
- (419) 483-2403
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
1200 Prospect St
Suite 302
Sandusky, OH 44870-3362
Mailing address
5433 State Route 113
Bellevue, OH 44811-9708
Phone (419) 483-2403
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2383620 | Medicaid | OH | |
| CL1664 | Other | OH | RAILROAD MEDICARE |
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.