| Sunbury Square Family Medicine | |
|
27 N Vernon St Sunbury OH 43074-9374 | |
| (740) 965-3076 | |
| (740) 965-8135 |
| Full Name | Sunbury Square Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 27 N Vernon St, Sunbury, Ohio |
| Authorized Official Name and Position | Wendy L Sparling (PRESIDENT) |
| Authorized Official Contact | 7409653076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunbury Square Family Medicine Po Box 449 Sunbury OH 43074-0449 Ph: (740) 965-6579 | Sunbury Square Family Medicine 27 N Vernon St Sunbury OH 43074-9374 Ph: (740) 965-3076 |
| NPI Number | 1366627838 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366627838 | NPI | - | NPPES |
| 2073054 | Medicaid | OH | |
| 638760 | Other | AETNA | |
| 0104201 | Other | UNITED HEALTH CARE | |
| 9132776-005 | Other | CIGNA | |
| 000000162940 | Other | OH | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-005972 (Ohio) | Primary |
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