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Contact Information

ALLIANCE PHYSICIAN INC
1956 E WHIPP RD
KETTERING, OH45440-2921
 Phone: 937-384-3896
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALLIANCE PHYSICIAN INC

NPI # 1366723090
LBN Legal business name ALLIANCE PHYSICIAN INC
Authorized official DANIEL HAIBACH - (DIRECTOR BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/08/2011
Last updated 09/08/2011 - About 15 years ago
Identifiers
OH Medicaid 2712872
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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