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Contact Information

PREMIER INTEGRATED MEDICAL ASSOC LTD
6520 ACRO COURT
CENTERVILLE, OH45459
 Phone: 937-291-6850
 Fax: 937-291-6896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PREMIER INTEGRATED MEDICAL ASSOC LTD · (Female)

NPI Number 1447218631
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2006
Last updated 07/15/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 3006544
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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