Innovation Center

LBN: Alliance Physician Inc
Innovation Center is an health care organization with primary practice located at 3535 Southern Blvd 4Th Floor, Kettering OH 45429-1221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Alliance Physician Inc can be contacted via phone (937) 558-3510, or through Haibach, Daniel D via phone (937) 558-3222.

Contact Information

Primary practice address
3535 Southern Blvd 4Th Floor Kettering OH 45429-1221
Phone: (937) 558-3510
Fax: (937) 558-3514
Website:
Map and Directions
Authorized official contact:
Name: Haibach, Daniel D
Phone: (937) 558-3222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1255612974
LBN Legal business name Alliance Physician Inc
DBA Doing business as Innovation Center
Authorized official Haibach, Daniel D
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 8th, 2011
Last updated Sep 8th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255612974 NPPES
Ohio MEDICAID 2712872

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