Provider Demographics
NPI:1891732780
Name:DR JOSEPH VRABEL
Entity type:Organization
Organization Name:DR JOSEPH VRABEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CLAIMS PROCESSOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-833-5530
Mailing Address - Street 1:PO BOX 35214
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44735-5214
Mailing Address - Country:US
Mailing Address - Phone:330-430-1838
Mailing Address - Fax:330-494-4560
Practice Address - Street 1:6723 MILITIA HILL ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1391
Practice Address - Country:US
Practice Address - Phone:330-430-1838
Practice Address - Fax:330-494-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0554789Medicaid
9361471Medicare PIN