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ALLIANCE PHYSICIAN INC NPI 1659653962


NPI Information

NPI: 1659653962
Provider Name: ALLIANCE PHYSICIAN INC

Doing Business As: MOUND FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1012 E CENTRAL AVE
MIAMISBURG, OH
ZIP 45342
Phone: (937) 866-0741
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ALLIANCE PHYSICIAN INC is a family medicine in Miamisburg, 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. ALLIANCE PHYSICIAN INC NPI is 1659653962. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mound Family Practice.

The provider's business location address is:

1012 E CENTRAL AVE
MIAMISBURG, OH
ZIP 45342-556
Phone: (937) 866-0741
Fax: (937) 866-8861

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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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