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NPI 1255996567 · live from the CMS NPI Registry

A4 Of Ohio, LLC

Anesthesiology in Toledo, OH. National Provider Identifier 1255996567, active.

NPI record

NPI1255996567 Type 2 · organization
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location4235 Secor Rd, Toledo, OH 43623
Practice phone419-473-3561
Mailing address2006 Hogback Rd Ste 5a, Ann Arbor, MI 48105
EnumeratedMay 2, 2019
Last updatedMay 15, 2023
Authorized officialTraci Coffman, Owner
Other namesA4 Management Company, LLC

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Anesthetist, Certified Registered367500000X—
Anesthesiologist Assistant367H00000X—
Anesthesiology primary207L00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.