National Provider Identifier Database

EVERSIDE HEALTH LLC
Primary Care


Contact Information

EVERSIDE HEALTH, LLC
640 EAST MAIN STREET
SAINT HENRY, OH45883
Phone: 419-763-4133
Fax: 419-763-4163
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for EVERSIDE HEALTH, LLC

NPI Number 1982078705
Legal business name
LBN
EVERSIDE HEALTH, LLC
Authorized official JILL PATTON - (DIRECTOR OF RISK MANAGEMENT)
Entity Organization
Organization subpart No
Enumeration date 11/17/2015
Last updated 08/12/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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