Provider Demographics
NPI:1043466386
Name:HELPING HANDS PEDIATRIC & ADOLESCENT MEDICINE INC.
Entity Type:Organization
Organization Name:HELPING HANDS PEDIATRIC & ADOLESCENT MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-983-0015
Mailing Address - Street 1:5030 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BLOOMFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43103-1018
Mailing Address - Country:US
Mailing Address - Phone:740-983-0015
Mailing Address - Fax:740-986-4763
Practice Address - Street 1:5030 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:SOUTH BLOOMFIELD
Practice Address - State:OH
Practice Address - Zip Code:43103-1018
Practice Address - Country:US
Practice Address - Phone:740-983-0015
Practice Address - Fax:740-986-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty