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Contact Information

DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC
5212 BRANDT PIKE
SUITE A
HUBER HEIGHTS, OH45424-6138
 Phone: 937-233-0748
 Fax: 937-233-6086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC · (Female)

NPI # 1447451661
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2007
Last updated 10/05/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 34003765
  • OH License # 35043565M
  • OH License # 35058434M
  • OH Other 000000011389 ANTHEM PIN
  • OH Other 000000011437 ANTHEM PIN
  • OH Other 000000269197 ANTHEM PIN
  • OH Other 394601220014 MEDICAL MUTUAL PIN
  • OH Other 368588672011 MMO PIN
  • OH Other 485805933016 MMO PIN
  • OH Other 9190162 PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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