Provider Demographics
NPI:1124074117
Name:C & S PROFESSIONAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:C & S PROFESSIONAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-829-8699
Mailing Address - Street 1:PO BOX 75698
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44101-4755
Mailing Address - Country:US
Mailing Address - Phone:614-430-5727
Mailing Address - Fax:
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:STE G120
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4957
Practice Address - Country:US
Practice Address - Phone:330-829-8699
Practice Address - Fax:330-829-8675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC6852OtherMEDICARE RAILROAD
DC6852OtherMEDICARE RAILROAD