Anthony Wayne Family Practice Inc
LBN: Anthony Wayne Family Practice Inc
Anthony Wayne Family Practice Inc is an health care organization with primary practice located at 5757 Monclova Rd Ste 24, Maumee OH 43537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Anthony Wayne Family Practice Inc can be contacted via phone (419) 897-2290, or through Montgomery, Bruce A via phone (419) 897-2270.
Contact Information
Primary practice address
5757 Monclova Rd Ste 24
Maumee OH 43537
Phone: (419) 897-2290
Fax: (419) 897-2290
Website:
Authorized official contact:
Name: Montgomery, Bruce A Doctor of Osteopathy (DO)
Phone: (419) 897-2270
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34004231M | Ohio |
Profile Details
| NPI number | 1518940881 |
|---|---|
| LBN Legal business name | Anthony Wayne Family Practice Inc |
| DBA Doing business as | |
| Authorized official | Montgomery, Bruce A Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518940881 | NPPES |
| Ohio | Other | 000000142183 | ANTHEM BCBS |
| Ohio | MEDICAID | 0904927 | ANTHEM BCBS |
| Ohio | Other | 02111 | ANTHEM BCBS |
| Ohio | Other | 236966123010 | ANTHEM BCBS |
| Ohio | Other | 236966123 | ANTHEM BCBS |
| Ohio | Other | 080155060 | ANTHEM BCBS |
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