Ohio Primary Care Services LLC
Internal Medicine in Plain City, OH. Organization (NPI-2).
NPI number1083242549
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1083242549
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Primary Care Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Aug 26, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
8645 Mallard CirPlain City, OH 43064-6004
Phone 740-201-6021 · Fax 740-785-4700
Mailing address
8645 Mallard CirPlain City, OH 43064-6004
Phone 740-201-6021 · Fax 740-785-4700
Authorized official
Raju Fatehchand
Owner Of Entity
7402016021
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