Provider Demographics
NPI:1851912935
Name:COMPREHENSIVE WOUND CARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE WOUND CARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-808-1664
Mailing Address - Street 1:PO BOX 67099
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44222-7099
Mailing Address - Country:US
Mailing Address - Phone:330-808-1664
Mailing Address - Fax:330-208-0378
Practice Address - Street 1:5131 BEACON HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-4442
Practice Address - Country:US
Practice Address - Phone:330-808-1664
Practice Address - Fax:330-208-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty