Addison, Augustina
Addison, Augustina is an individual health care provider with primary practice located at 3130 N County Road 25A Ste 205 , Troy OH 45373-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Addison, Augustina can be contacted via phone (937) 335-1660.Contact Information
Primary practice address
3130 N County Road 25A Ste 205
Troy OH 45373-1337
Phone: (937) 335-1660
Fax: (937) 440-4020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MT209133 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35.140195 | Ohio |
Profile Details
| NPI number | 1962883587 |
|---|---|
| LBN Legal business name | Addison, Augustina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2015 |
| Last updated | Oct 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962883587 | NPPES |
| Ohio | MEDICAID | 0413049 |
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