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Contact Information

MILLERSBURG CLINIC, INC.
5354 TOWNSHIP ROAD 336
STE B
MILLERSBURG, OH44654
 Phone: 330-674-3434
 Fax: 330-674-3731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MILLERSBURG CLINIC, INC.

NPI Number 1215971643
LBN Legal business name MILLERSBURG CLINIC, INC.
Authorized official BUTROS LATOUF - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 01/24/2019 - About 7 years ago
Identifiers
OH License # 350631710
OH Medicaid 2091678
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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