Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesCHARLES S DUVALL AA
Nursing Yellow Pages
Cleveland, Ohio
Provider NPI: 1407878770
Provider Information:CHARLES S DUVALL AA
Practice Location:
11100 EUCLID AVE CLEVELAND, OH 44106 US
Tel: 216-844-7330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | OH | 67-000109 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| WELLCARE MEDICAID | 414965 | OH | 01 |
| ANTHEM | 000000515964 | OH | 01 |
| BCMH | 0583328 | OH | 01 |
| RAILROAD MEDICARE | P00444996 | OH | 01 |
| 2539917 | OH | 05 | |
| AETNA | 7733967 | OH | 01 |
| UNISON | 000000232162 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
