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CITRAN OCCUPATIONAL HEALTH LLC NPI 1619517612


NPI Information

NPI: 1619517612
Provider Name: CITRAN OCCUPATIONAL HEALTH, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 36D2116782

Address:
7774 DAYTON SPRINGFIELD RD
FAIRBORN, OH
ZIP 45324
Phone: (937) 340-6488
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CITRAN OCCUPATIONAL HEALTH, LLC is an occupational medicine clinic center in Fairborn, OH. CITRAN OCCUPATIONAL HEALTH, LLC NPI is 1619517612. The provider is registered as an organization entity type.

The provider's business location address is:

7774 DAYTON SPRINGFIELD RD
FAIRBORN, OH
ZIP 45324-957
Phone: (937) 340-6488
Fax: (937) 340-6512

The provider's authorized official is Amanda Ingold .
The authorized official title is Practice Manager and has the following contact phone number (937) 340-6488.

The CLIA number assigned to this NPI record is 36D2116782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.


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 License Number License State Primary
1261QX0100XClinic/CenterOccupational MedicineYes

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

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