Promedica Central Physicians LLC

Organization Pediatric Critical Care Medicine Physician · NPI 1518202050

Promedica Central Physicians LLC is a Pediatric Critical Care Medicine Physician in Sandusky, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in: OH
In the registry since: 2012
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1912 Hayes Ave
Sandusky, OH 44870-4736
Phone: (419) 557-6767
Fax: (419) 557-6783

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pulmonology Physician (primary)	Taxonomy 2080P0214X (OH)
Pediatric Critical Care Medicine Physician	Taxonomy 2080P0203X (OH)

Record details

NPI number	1518202050
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kristin Knueven — Credentialing Supervisor · (567) 585-1969
Other names	Promedica Children'S Specialties; Promedica Children'S Specialties
NPI enumerated	December 11, 2012
Last updated in NPPES	February 5, 2021
Certification date	February 5, 2021
Mailing address	1912 Hayes Ave, Sandusky, OH 44870-4736