DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUSTIN BISHOP

Active Sole Proprietor

Preferred Provider Organization · DEER PARK, OH

Registration Details

NPI Number
1013532746
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2020 (5.8692930478596 yrs)
Last Updated
Jun 9, 2020
Sole Proprietor
Yes

Practice Information

Address
4271 GLENWAY AVE
DEER PARK, OH, 452363631
Browse OH providers · Browse ZIP 45236
Phone
5133109191
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.