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SPENCERVILLE PHYSICIANS LTD NPI 1982736948


NPI Information

NPI: 1982736948
Provider Name: SPENCERVILLE PHYSICIANS, LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
107 N CANAL ST
SPENCERVILLE, OH
ZIP 45887
Phone: (419) 647-4188
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SPENCERVILLE PHYSICIANS, LTD is a family medicine in Spencerville, 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. SPENCERVILLE PHYSICIANS, LTD NPI is 1982736948. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 N CANAL ST
SPENCERVILLE, OH
ZIP 45887-121
Phone: (419) 647-4188
Fax: (419) 647-4421

The provider's authorized official is Donald O Mack .
The authorized official title is Partner and has the following contact phone number (419) 647-4188.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35067497OHIOYes

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
12052326MEDICAIDOHIO

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

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