Provider Demographics
NPI:1871758466
Name:PAUL FIKE BUILDERS
Entity type:Organization
Organization Name:PAUL FIKE BUILDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-467-7547
Mailing Address - Street 1:9467 S SKYLAND DR
Mailing Address - Street 2:PO BOX 670304
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1140
Mailing Address - Country:US
Mailing Address - Phone:330-467-7547
Mailing Address - Fax:330-468-0258
Practice Address - Street 1:9467 S SKYLAND DR
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1140
Practice Address - Country:US
Practice Address - Phone:330-467-7547
Practice Address - Fax:330-468-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2799557Medicaid