PROHEALTH PHYSICIAN GROUP LLC NPI 1912208729

NPI Information

NPI: 1912208729
Provider Name: PROHEALTH PHYSICIAN GROUP LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
12611 ECKEL JUNCTION RD
PERRYSBURG, OH
ZIP 43551
Phone: (877) 511-9739
Get Directions

PROHEALTH PHYSICIAN GROUP LLC is a psychiatric/mental health nurse practitioner in Perrysburg, OH. PROHEALTH PHYSICIAN GROUP LLC NPI is 1912208729. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12611 ECKEL JUNCTION RD
PERRYSBURG, OH
ZIP 43551-304
Phone: (877) 511-9739
Fax: (866) 437-9066

The provider's authorized official is Ritchie Adams .
The authorized official title is Owner/ceo and has the following contact phone number (419) 491-7150.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 12/30/2020.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	152W00000X	Optometrist		No
3	213E00000X	Podiatrist		No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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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