Broadway Family Medicine Inc

LBN: Broadway Family Medicine Inc
Broadway Family Medicine Inc is an health care organization with primary practice located at 1470 N Broadway St Suite100, Lebanon OH 45036-1744. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Broadway Family Medicine Inc can be contacted via phone (513) 932-1936, or through Ebel, Rose via phone (513) 932-1936.

Contact Information

Primary practice address
1470 N Broadway St Suite100 Lebanon OH 45036-1744
Phone: (513) 932-1936
Fax: (513) 932-3105
Website:
Map and Directions
Authorized official contact:
Name: Ebel, Rose Doctor of Osteopathy (DO)
Phone: (513) 932-1936

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1083696538
LBN Legal business name Broadway Family Medicine Inc
DBA Doing business as
Authorized official Ebel, Rose Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 20th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083696538 NPPES
Ohio Other CK5993 RR MCR
Ohio MEDICAID 2378538 RR MCR

Popular Providers