| Beavercreek Family Care Associates Ltd | |
|
2510 Commons Blvd Suite #275 Beavercreek OH 45431-3820 | |
| (937) 431-3700 | |
| (937) 431-3705 |
| Full Name | Beavercreek Family Care Associates Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2510 Commons Blvd, Beavercreek, Ohio |
| Authorized Official Name and Position | Donna L Whitmer (PRACTICE MANAGER) |
| Authorized Official Contact | 9374313700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beavercreek Family Care Associates Ltd 2510 Commons Blvd Suite #275 Beavercreek OH 45431-3820 Ph: (937) 431-3700 | Beavercreek Family Care Associates Ltd 2510 Commons Blvd Suite #275 Beavercreek OH 45431-3820 Ph: (937) 431-3700 |
| NPI Number | 1093709826 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 02/12/2010 |
| Medicare PECOS PAC ID | 9032142351 |
|---|---|
| Medicare Enrollment ID | O20050915001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093709826 | NPI | - | NPPES |
| 0528263 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Lee Whitmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649377391 PECOS PAC ID: 6002930294 Enrollment ID: I20100825000002 |
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