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Contact Information

PREMIER HEALTH SPECIALIST, INC
1 WYOMING ST
BERRY BLDG, GROUND FL, STE B
DAYTON, OH45409-2722
 Phone: 937-208-2901
 Fax: 937-208-2014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PREMIER HEALTH SPECIALIST INC · (Female)

NPI Number 1760753180
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2012
Last updated 11/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0081671
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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