BROADWAY FAMILY MEDICINE INC NPI 1083696538

NPI Information

BROADWAY FAMILY MEDICINE INC is a family medicine in Lebanon, 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. BROADWAY FAMILY MEDICINE INC NPI is 1083696538. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1470 N BROADWAY ST
SUITE100
LEBANON, OH
ZIP 45036-744
Phone: (513) 932-1936
Fax: (513) 932-3105

The provider's authorized official is Rose Ebel .
The authorized official title is President and has the following contact phone number (513) 932-1936.

The CLIA number assigned to this NPI record is 36D0696811 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/18/2005 and was last updated on 9/20/2018.

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:

Other Identifiers

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