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LIBERTY FAMILY MEDICINE LLC NPI 1598095234


NPI Information

NPI: 1598095234
Provider Name: LIBERTY FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2002589

Address:
7136 OFFICE PARK DRIVE
WEST CHESTER, OH
ZIP 45069
Phone: (513) 755-1912
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LIBERTY FAMILY MEDICINE LLC is a family medicine in West Chester, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIBERTY FAMILY MEDICINE LLC NPI is 1598095234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7136 OFFICE PARK DRIVE
WEST CHESTER, OH
ZIP 45069-261
Phone: (513) 755-1912
Fax: (513) 755-2013

The provider's authorized official is Aleda Nash Johnson .
The authorized official title is Physician and has the following contact phone number (513) 226-8474.

The CLIA number assigned to this NPI record is 36D2002589 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/31/2009 and was last updated on 2/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35082882OHIOYes

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: 11/14/2023

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