Provider Demographics
NPI:1124311626
Name:CR INC
Entity type:Organization
Organization Name:CR INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:VERBANIC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-872-3273
Mailing Address - Street 1:17 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44444-1604
Mailing Address - Country:US
Mailing Address - Phone:330-872-3273
Mailing Address - Fax:330-609-5056
Practice Address - Street 1:17 E BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444-1604
Practice Address - Country:US
Practice Address - Phone:330-872-3273
Practice Address - Fax:330-609-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health