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Contact Information

DAYTON CHILDREN'S ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE, LLC
1 CHILDRENS PLZ
DAYTON, OH45404
 Phone: 937-641-3010
 Fax: 937-641-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAYTON CHILDRENS ORTHOPAEDIC CENTER FOR SPINAL PEDIATRIC CARE LLC · (Female)

NPI Number 1124021324
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2005
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 050826
  • FL Medicaid 914700400
  • IN Medicaid 200251960A
  • KY Medicaid 65901415
  • OH Medicaid 0060237
  • OH Medicaid 2155448
  • KY Other 65901415 KENTUCKY PASSPORT
  • OH Other 2252233 AETNA
  • OH Other 2125835800 BUREAU OF WORKERS COMP
  • OH Other CG2790 PARAMOUNT
  • OH Other CG2790 RAILROAD MEDICARE
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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