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Contact Information

SENECTUM MEDICAL GROUP LLC
954 SEDGEFIELD CT
MAINEVILLE, OH45039-7513
 Phone: 513-275-6551
 Fax: 513-880-0849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SENECTUM MEDICAL GROUP LLC · (Female)

NPI Number 1710749114
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2024
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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