Provider Demographics
NPI:1972657815
Name:PAUL KROH INC
Entity Type:Organization
Organization Name:PAUL KROH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KROH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-705-6516
Mailing Address - Street 1:1604 PATRIOTS POINT SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-4828
Mailing Address - Country:US
Mailing Address - Phone:330-966-9166
Mailing Address - Fax:330-966-1135
Practice Address - Street 1:813 N. MAIN ST.
Practice Address - Street 2:B
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1610
Practice Address - Country:US
Practice Address - Phone:330-966-9166
Practice Address - Fax:330-961-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH224Z00000X, 225100000X, 225200000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9331951Medicare PIN