Provider Demographics
NPI:1164882957
Name:DEBRA ZIADEH
Entity Type:Organization
Organization Name:DEBRA ZIADEH
Other - Org Name:THE TRAINING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIADEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-438-8863
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:43008-0116
Mailing Address - Country:US
Mailing Address - Phone:740-438-8863
Mailing Address - Fax:740-205-0097
Practice Address - Street 1:5179 WALNUT RD
Practice Address - Street 2:
Practice Address - City:BUCKEYE LAKE
Practice Address - State:OH
Practice Address - Zip Code:43008-7788
Practice Address - Country:US
Practice Address - Phone:740-438-8863
Practice Address - Fax:740-205-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center