PHYSICAL MEDICINE CENTER OF ST ELIZABETH NPI 1407472004

NPI Information

NPI: 1407472004
Provider Name: PHYSICAL MEDICINE CENTER OF ST ELIZABETH
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1 ELIZABETH PL STE 1100B
DAYTON, OH
ZIP 45417
Phone: (937) 813-7666
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PHYSICAL MEDICINE CENTER OF ST ELIZABETH is a multi-specialty clinic center in Dayton, OH. PHYSICAL MEDICINE CENTER OF ST ELIZABETH NPI is 1407472004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 ELIZABETH PL STE 1100B
DAYTON, OH
ZIP 45417-445
Phone: (937) 813-7666
Fax: (937) 813-7667

The provider's authorized official is Fuad Amer .
The authorized official title is Owner and has the following contact phone number (513) 213-0919.

The enumeration date for this NPI number is 6/19/2020 and was last updated on 6/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	111N00000X	Chiropractor		No
2	261QP2000X	Clinic/Center	Physical Therapy	No
3	261QP3300X	Clinic/Center	Pain	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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