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MUSKINGUM UNIVERSITY NPI 1568029205


NPI Information

NPI: 1568029205
Provider Name: MUSKINGUM UNIVERSITY

Doing Business As: MUSKINGUM SPORTS MEDICINE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
163 STORMONT ST
NEW CONCORD, OH
ZIP 43762
Phone: (740) 826-8211
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MUSKINGUM UNIVERSITY is a general practice in New Concord, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MUSKINGUM UNIVERSITY NPI is 1568029205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Muskingum Sports Medicine.

The provider's business location address is:

163 STORMONT ST
NEW CONCORD, OH
ZIP 43762-118
Phone: (740) 826-8211

The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 5/28/2019 and was last updated on 12/17/2021.


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
1208D00000XGeneral PracticeYes

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

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