Kettering Sports Medicine

LBN: Alliance Physician Inc
Kettering Sports Medicine is an health care organization with primary practice located at 4403 Far Hills Ave , Kettering OH 45429-2405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Alliance Physician Inc can be contacted via phone (937) 395-3920, or through Ko, Timothy Y via phone (937) 558-3223.

Contact Information

Primary practice address
4403 Far Hills Ave Kettering OH 45429-2405
Phone: (937) 395-3920
Fax: (937) 395-3940
Website:
Map and Directions
Authorized official contact:
Name: Ko, Timothy Y
Phone: (937) 558-3223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1821160243
LBN Legal business name Alliance Physician Inc
DBA Doing business as Kettering Sports Medicine
Authorized official Ko, Timothy Y
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2006
Last updated Oct 4th, 2019 - about 6 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 1821160243 NPPES
Ohio MEDICAID 2864833

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