Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
419-647-4584.
Active OrganizationPoint of Service · SPENCERVILLE, OH
Registration Details
- NPI Number
- 1750686770
- Provider Type
- Organization
- NPI Issued
- Jan 23, 2011 (15.243064134045 yrs)
- Last Updated
- Jan 23, 2011
- License
-
788776765655 (OH)
Practice Information
- Address
-
102 S BROADWAY STSPENCERVILLE, OH, 458871267Browse OH providers · Browse ZIP 45887
- Phone
- 6145829253
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.