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ALLIANCE PHYSICIAN INC NPI 1568743292


NPI Information

NPI: 1568743292
Provider Name: ALLIANCE PHYSICIAN INC

Doing Business As: KETTERING CANCER & BLOOD SPECIALISTS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3533 SOUTHERN BLVD
SUITE 3750
KETTERING, OH
ZIP 45429
Phone: (937) 395-8304
Get Directions

ALLIANCE PHYSICIAN INC is a hematology and oncology internal medicine in Kettering, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ALLIANCE PHYSICIAN INC NPI is 1568743292. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kettering Cancer & Blood Specialists.

The provider's business location address is:

3533 SOUTHERN BLVD
SUITE 3750
KETTERING, OH
ZIP 45429-264
Phone: (937) 395-8304
Fax: (937) 395-6004

The provider's authorized official is Duane A Sheldon .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (912) 424-8443.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 3/5/2013.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12712872MEDICAIDOHIO
29306898MEDICARE PINOHIO

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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