Provider Demographics
NPI:1336362482
Name:JOANNE HARRIS BRIGGS, M.D., INC
Entity Type:Organization
Organization Name:JOANNE HARRIS BRIGGS, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-665-3937
Mailing Address - Street 1:3600 W MARKET ST
Mailing Address - Street 2:# 100
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4540
Mailing Address - Country:US
Mailing Address - Phone:330-665-3937
Mailing Address - Fax:
Practice Address - Street 1:3600 W MARKET ST
Practice Address - Street 2:# 100
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4540
Practice Address - Country:US
Practice Address - Phone:330-665-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9357901Medicare ID - Type Unspecified
1030760001Medicare NSC