Southmoor Medical Associate

LBN: Alliance Physician Inc
Southmoor Medical Associate is an health care organization with primary practice located at 38 Southmoor Cir Ne Suite B, Kettering OH 45429-2443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alliance Physician Inc can be contacted via phone (937) 294-4487, or through Haibach, Daniel D via phone (937) 558-3222.

Contact Information

Primary practice address
38 Southmoor Cir Ne Suite B Kettering OH 45429-2443
Phone: (937) 294-4487
Fax: (937) 294-2255
Website:
Map and Directions
Authorized official contact:
Name: Haibach, Daniel D
Phone: (937) 558-3222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1568744969
LBN Legal business name Alliance Physician Inc
DBA Doing business as Southmoor Medical Associate
Authorized official Haibach, Daniel D
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 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 1568744969 NPPES
Ohio MEDICAID 2712872

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