Provider Demographics
NPI:1801098892
Name:PAIS, DAVID ALAN (RN)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALAN
Last Name:PAIS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 E EXCHANGE ST
Mailing Address - Street 2:3
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1071
Mailing Address - Country:US
Mailing Address - Phone:330-396-0027
Mailing Address - Fax:
Practice Address - Street 1:695 E EXCHANGE ST
Practice Address - Street 2:3
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1071
Practice Address - Country:US
Practice Address - Phone:330-396-0027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH331742163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH331742OtherREGISTERED NURSE