Provider Demographics
NPI:1841389400
Name:TOLEDO FERTILITY CENTER
Entity Type:Organization
Organization Name:TOLEDO FERTILITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-885-8080
Mailing Address - Street 1:6711 MONROE ST
Mailing Address - Street 2:BUILDING 3 SUITE A
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1993
Mailing Address - Country:US
Mailing Address - Phone:419-885-8080
Mailing Address - Fax:
Practice Address - Street 1:6711 MONROE ST
Practice Address - Street 2:BUILDING 3 SUITE A
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1993
Practice Address - Country:US
Practice Address - Phone:419-885-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH048786978004OtherMEDICAL MUTUAL