Provider Demographics
NPI:1902079502
Name:COMPREHENSIVE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KALOGEROU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-238-7777
Mailing Address - Street 1:140 FOX ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-2407
Mailing Address - Country:US
Mailing Address - Phone:419-238-7777
Mailing Address - Fax:419-238-7979
Practice Address - Street 1:140 FOX ROAD
Practice Address - Street 2:SUITE 402
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-2407
Practice Address - Country:US
Practice Address - Phone:419-238-7777
Practice Address - Fax:419-238-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0892655Medicaid
OHE65717Medicare UPIN
OH0892655Medicaid