Provider Demographics
NPI:1841379567
Name:GK CLINE ENTERPRISES,INC
Entity type:Organization
Organization Name:GK CLINE ENTERPRISES,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:419-423-7331
Mailing Address - Street 1:1331 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3751
Mailing Address - Country:US
Mailing Address - Phone:419-423-7331
Mailing Address - Fax:419-423-1049
Practice Address - Street 1:1331 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3751
Practice Address - Country:US
Practice Address - Phone:419-423-7331
Practice Address - Fax:419-423-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3642724OtherNABP #
OH0564287Medicaid
OH0564287Medicaid
OH3642724OtherNABP #