Basic Information
Provider Information
NPI: 1316964166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIGNS
FirstName: DENISE
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 ARCH ST STE 506
Address2:  
City: AKRON
State: OH
PostalCode: 443041434
CountryCode: US
TelephoneNumber: 3303753894
FaxNumber: 3303756880
Practice Location
Address1: 75 ARCH ST STE 506
Address2:  
City: AKRON
State: OH
PostalCode: 443041434
CountryCode: US
TelephoneNumber: 3303753894
FaxNumber: 3303756880
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 08/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X35.049278OHN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
174400000X35049278SOHY Other Service ProvidersSpecialist 

ID Information
IDTypeStateIssuerDescription
074119305OH MEDICAID


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