Alliance Retina

LBN: Alliance Retina
Alliance Retina is an health care organization with primary practice located at 5757 Monclova Rd Ste 11 , Maumee OH 43537-1863. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Alliance Retina can be contacted via phone (419) 873-6800, or through Rosenthal, John Gregory via phone (419) 873-6800.

Contact Information

Primary practice address
5757 Monclova Rd Ste 11 Maumee OH 43537-1863
Fax: (419) 873-6804
Website:
Authorized official contact:
Name: Rosenthal, John Gregory Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1669811774
LBN Legal business name Alliance Retina
DBA Doing business as
Authorized official Rosenthal, John Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2013
Last updated Mar 25th, 2020 - about 4 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 1669811774 NPPES
Ohio MEDICAID 0749300

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