ALLIANCE PHYSICIAN INC NPI 1669754065

NPI Information

NPI: 1669754065
Provider Name: ALLIANCE PHYSICIAN INC

Doing Business As: GRANDVIEW MEDICAL CENTER OR DEPT

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
405 W GRAND AVE
OR DEPT
DAYTON, OH
ZIP 45405
Phone: (937) 723-3232
Get Directions

ALLIANCE PHYSICIAN INC is a surgical physician assistant in Dayton, OH. ALLIANCE PHYSICIAN INC NPI is 1669754065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grandview Medical Center Or Dept.

The provider's business location address is:

405 W GRAND AVE
OR DEPT
DAYTON, OH
ZIP 45405-720
Phone: (937) 723-3232
Fax: (937) 723-3854

The provider's authorized official is Daniel D Haibach .
The authorized official title is Director Business Develpment 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	363AS0400X	Physician Assistant	Surgical			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	9306898	MEDICARE PIN	OHIO
2	2712872	MEDICAID	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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