Barbara M Modic MD Inc
Organization Active NPI Exclusive Provider Organization · Austintown, OH
NPI 1487968970 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1487968970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 35055600 (OH)
- Legal business name
- BARBARA M MODIC MD INC
- Practice address
- 25 N Canfield Niles Rd
Suite110
Austintown, OH 44515-2328 - Phone
- (330) 792-2577
- Fax
- (330) 792-3199
- NPI assigned
- Jul 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Barbara Marie Modic, M.D.
- Title
- Owner
- Phone
- (330) 792-2577
National Provider Directory
Locations
25 N Canfield Niles Rd
Ste 110
Austintown, OH 44515
Phone (330) 792-2577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 35055600 | OH | Yes |
Addresses
Primary practice location
25 N Canfield Niles Rd
Suite110
Austintown, OH 44515-2328
Mailing address
25 N Canfield Niles Rd
Suite110
Austintown, OH 44515-2328
Phone (330) 792-2577
Other providers in Austintown, OH
- Jeremy Baker
- Patricia Kay Baker
- Sharita Jo Banks
- Chrystal Baptiste
- Amanda Barbale
- Trachele Barnhart
- Guy Claude Barrett
- Emma Barry
- Jason Basic
- Jacques J Bataille
All providers in Austintown, OH · Exclusive Provider Organization in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 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.