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Contact Information

PREMIER PEDIATRIC GROUP INC.
5386 COX SMITH ROAD
SUITE A
MASON, OH45040
 Phone: 513-770-3466
 Fax: 513-770-3467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PREMIER PEDIATRIC GROUP INC · (Female)

NPI Number 1093922072
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2426771
  • OH Other 7200478 AETNA FOR ELIGABILITY
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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