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Contact Information

AUSTIN BISHOP
4271 GLENWAY AVE
DEER PARK, OH45236-3631
 Phone: 513-310-9191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for AUSTIN BISHOP · (Male)

NPI Number 1013532746
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2020
Last updated 06/09/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 0402261
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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