Provider Information for 1215576509
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ANTHONY ALLEN NATHAL MSW
Sex: Male
NPI: 1215576509
Last Updated: 2020-01-03
Certification Date: 2020-01-03
Certification Date: 2020-01-03
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1215576509 | ||||||||
Enumeration Date | 2020-01-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 2231 N TAYLOR RD CLEVELAND HEIGHTS, OH 44112-3044 United States Phone: 216-355-0365 | Fax:216-803-9899 | ||||||||
Primary Practice Address | 2231 N TAYLOR RD CLEVELAND HEIGHTS, OH 44112-3044 United States Phone: 216-355-0365 | Fax:216-803-9899 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|