ALLIANCE PHYSICIAN INC NPI 1104108406

NPI Information

NPI: 1104108406
Provider Name: ALLIANCE PHYSICIAN INC

Doing Business As: DAYTON SURGEONS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1 ELIZABETH PL
SUITE 10A-1
DAYTON, OH
ZIP 45417
Phone: (937) 228-4126
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ALLIANCE PHYSICIAN INC is a vascular surgery surgery in Dayton, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ALLIANCE PHYSICIAN INC NPI is 1104108406. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dayton Surgeons.

The provider's business location address is:

1 ELIZABETH PL
SUITE 10A-1
DAYTON, OH
ZIP 45417-445
Phone: (937) 228-4126
Fax: (937) 228-0247

The provider's authorized official is Daniel D Haibach .
The authorized official title is Director Business Development and has the following contact phone number (937) 558-3222.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.

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
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2712872	MEDICAID	OHIO
2	9306898	MEDICARE PIN	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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