Dr. John Dominic Credico
Obstetrician
2751 Bay Park Dr Suite 304
Oregon
, Ohio 43616-4921
Dr. John Dominic Credico
Obstetrician
2751 Bay Park Dr Suite 304
Oregon
, Ohio 43616-4921
(419) 691-1511
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. John Dominic Credico
- 2751 Bay Park Dr Suite 304
- Oregon, OH
- Zip : 43616-4921
- Fax : (419) 691-1511
- Phone : (419) 690-7611
Second Address
- Dr. John Dominic Credico
- 2751 Bay Park Dr Suite 304
- Oregon, OH
- Zip : 43616-4921
- Fax : (419) 691-1511
- Phone : (419) 690-7611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 35053584 | OH |
National Provider Identifier
| NPI | 1023002938 |
|---|---|
| Provider Name | Dr. John Dominic Credico |
| First Address | Oregon, OH 43616-4921 |
| Second Address | Oregon, OH 43616-4921 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 11/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0601405 | (05) | OH |
| A72869 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.