PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO INC NPI 1609084375

NPI Information

PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC is a general practice in Sidney, OH. PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC NPI is 1609084375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 FAIRINGTON DR
SIDNEY, OH
ZIP 45365-144
Phone: (937) 492-8431
Fax: (937) 498-5126

The provider's authorized official is Jeanie Bosslet .
The authorized official title is Practice Manager and has the following contact phone number (937) 492-8431.

The CLIA number assigned to this NPI record is 36D0348584 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 10/24/2011.

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:

Other Identifiers

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

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