National Provider Identifier Database

PREMIER INTEGRATED MEDICAL ASSOC LTD
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PREMIER INTEGRATED MEDICAL ASSOC LTD
2322 LAKEVIEW DR
BEAVERCREEK, OH45431
Phone: 937-320-3848
Fax: 937-320-3848
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PREMIER INTEGRATED MEDICAL ASSOC LTD

NPI Number 1023075330
Legal business name
LBN
PREMIER INTEGRATED MEDICAL ASSOC LTD
Authorized official MARK COUCH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/28/2006
Last updated 07/15/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2106232
  • OH Other: CA2478 MEDICARE RR ID

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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