SKPR OH 1 LLC; NPI #1740590397

Contact Information

SKPR OH 1 LLC

915 10TH ST
PORTSMOUTH, OH 45662-4152

Phone: 937-386-0000
Fax: 937-386-0009
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for SKPR OH 1 LLC

NPI # 1740590397

LBN Legal business name SKPR OH 1 LLC

Authorized official PRAKASH PATEL - (SOLE MEMBER/MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2010

Last updated 02/18/2011 - About 15 years ago

Identifiers

OH	License #	35053209
OH	Medicaid	3100389

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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