National Provider Identifier Database

PROSPECT FAMILY MEDICINE INC
Primary Care


Contact Information

PROSPECT FAMILY MEDICINE, INC.
102 WATER STREET
PROSPECT, OH43342
Phone: 740-494-2624
Fax: 740-494-9013
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for PROSPECT FAMILY MEDICINE, INC.

NPI Number 1487895967
Legal business name
LBN
PROSPECT FAMILY MEDICINE, INC.
Authorized official MARK PIACENTINI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/13/2009
Last updated 05/17/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 35054820P
  • OH Medicaid: 0669174

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.

Reviews for PROSPECT FAMILY MEDICINE, INC.

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