Bishop, Austin

Bishop, Austin is an sole proprietor health care provider with primary practice located at 4271 Glenway Ave , Deer Park OH 45236-3631. He recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as his primary health care specialty. Bishop, Austin can be contacted via phone (513) 310-9191.

Contact Information

Primary practice address
4271 Glenway Ave Deer Park OH 45236-3631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1013532746
LBN Legal business name Bishop, Austin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2020
Last updated Jun 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013532746 NPPES
Ohio MEDICAID 0402261

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