Provider Demographics
NPI:1467663930
Name:THE CENTER FOR WOMEN, INC.
Entity Type:Organization
Organization Name:THE CENTER FOR WOMEN, INC.
Other - Org Name:DR. DOUGLAS E. VANREES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-702-1372
Mailing Address - Street 1:4139 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9034
Mailing Address - Country:US
Mailing Address - Phone:330-702-1372
Mailing Address - Fax:330-702-1287
Practice Address - Street 1:4139 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9034
Practice Address - Country:US
Practice Address - Phone:330-702-1372
Practice Address - Fax:330-702-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9274072Medicare PIN