Glass City Obgyn LLC
Obstetrics & Gynecology in Lancaster, OH. Organization (NPI-2).
NPI number1124649504
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1124649504
- Entity type
- Organization (NPI-2)
- Legal business name
- Glass City Obgyn LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- River Valley Womens Health (Doing Business As)
Practice location
1319 E Main StLancaster, OH 43130-4005
Phone 740-687-2229 · Fax 740-687-2220
Mailing address
1319 E Main StLancaster, OH 43130-4005
Phone 740-687-2229 · Fax 740-687-2220
Authorized official
Sean Nathaniel Jerig
Owner
7406872229
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