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

MISS ALIM VIVANCO

Active Sole Proprietor

MISS ALIM VIVANCO is a General Practice healthcare provider located in BEAVERCREEK, Ohio. NPI 1881977171 is currently active in the NPPES registry. Verify at CMS.

General Practice · BEAVERCREEK, OH

Registration Details

NPI Number
1881977171
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2011 (14.910347968006 yrs)
Last Updated
Sep 22, 2011
Licenses
23558185 (OH)
23558185 (OH)
23558185 (OH)
Sole Proprietor
Yes

Practice Information

Address
2641 HIBISCUS WAY
APT 312
BEAVERCREEK, OH, 454312393
Browse OH providers · Browse ZIP 45431
Phone
9378300114
Primary Specialty
General Practice
208D00000X
Additional Specialty
Internal Medicine
Additional Specialty
General Practice

Other General Practice Providers in BEAVERCREEK, OH

Name Credential NPI
DR. DENNIS MICHAEL SULLIVAN M.D. 1225354004
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.