Provider Demographics
NPI:1063475267
Name:VRABEL, JOSEPH G (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:VRABEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35214
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44735
Mailing Address - Country:US
Mailing Address - Phone:330-430-1838
Mailing Address - Fax:330-494-4560
Practice Address - Street 1:6723 MILITIA HILL ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-430-1838
Practice Address - Fax:330-494-4560
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0437941Medicaid
OHVR0479658Medicare ID - Type Unspecified
OH0437941Medicaid