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767 Columbus Ave Suite 100 Lebanon OH 45036-1749 | |
(513) 228-9444 | |
(513) 228-9440 |
Full Name | |
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Speciality | Family Medicine |
Location | 767 Columbus Ave, Lebanon, Ohio |
Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
Authorized Official Contact | 9375583222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2210 Leiter Rd Miamisburg OH 45342-3692 Ph: (937) 384-4838 | 767 Columbus Ave Suite 100 Lebanon OH 45036-1749 Ph: (513) 228-9444 |
NPI Number | 1184905739 |
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Provider Enumeration Date | 09/08/2011 |
Last Update Date | 09/08/2011 |
Identifier | Type | State | Issuer |
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1184905739 | NPI | - | NPPES |
2712872 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Broadway Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1470 N Broadway St, Suite100, Lebanon, OH 45036 Phone: 513-932-1936 Fax: 513-932-3105 | |
Trihealth Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arrow Springs Blvd, Suite 2800, Lebanon, OH 45036 Phone: 513-282-7300 Fax: 513-282-7310 | |
Primary Care Partners Of Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 E Main St Ste F205, Lebanon, OH 45036 Phone: 513-325-4392 Fax: 513-409-5086 | |