Kettering Medical Center - Breast Evaluation Center

LBN: Alliance Physician Inc
Kettering Medical Center - Breast Evaluation Center is an health care organization with primary practice located at 3535 Southern Blvd Suite B, Kettering OH 45429-1221. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Alliance Physician Inc can be contacted via phone (937) 298-4331, or through Haibach, Daniel D via phone (937) 914-7094.

Contact Information

Primary practice address
3535 Southern Blvd Suite B Kettering OH 45429-1221
Phone: (937) 298-4331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haibach, Daniel D
Phone: (937) 914-7094

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1891077293
LBN Legal business name Alliance Physician Inc
DBA Doing business as Kettering Medical Center - Breast Evaluation Center
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 1891077293 NPPES
Ohio MEDICAID 2712872

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