FAUSTER CAMERON INC., DBA DEFIANCE CLINIC; NPI #1659573046

Contact Information

FAUSTER CAMERON INC., DBA DEFIANCE CLINIC

102 WEST ASH ST
CONTINENTAL, OH 45831

Phone: 419-596-3133
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for FAUSTER CAMERON INC., DBA DEFIANCE CLINIC

NPI Number 1659573046

LBN Legal business name FAUSTER CAMERON INC., DBA DEFIANCE CLINIC

Authorized official CHAD PETER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/05/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

0121746

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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