Provider Demographics
NPI:1699954313
Name:INFECTION PREVENTION & TREATMENT CENTER, LLC
Entity type:Organization
Organization Name:INFECTION PREVENTION & TREATMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TWINKLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:RATNASAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-421-5334
Mailing Address - Street 1:1816 CHAPEL DR
Mailing Address - Street 2:STE. J
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1331
Mailing Address - Country:US
Mailing Address - Phone:419-420-0100
Mailing Address - Fax:419-420-0600
Practice Address - Street 1:1816 CHAPEL DR
Practice Address - Street 2:STE. J
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1331
Practice Address - Country:US
Practice Address - Phone:419-420-0100
Practice Address - Fax:419-420-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082006R207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE91939OtherUPIN
OH2361215Medicaid
OHRA4098161Medicare PIN