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Contact Information

GERIATRIC PRACTICE LLC
839 CHERRY ST
BLANCHESTER, OH45107-1315
 Phone: 513-432-8735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GERIATRIC PRACTICE LLC · (Female)

NPI Number 1376842815
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2011
Last updated 03/23/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35D68907
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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