Carillon Family Practice Ltd

LBN: Carillon Family Practice Ltd
Carillon Family Practice Ltd is an health care organization with primary practice located at 2501 S Dixie Dr , Kettering OH 45409-1523. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carillon Family Practice Ltd can be contacted via phone (937) 643-3083, or through Chavez, Annette M via phone (937) 643-3083.

Contact Information

Primary practice address
2501 S Dixie Dr Kettering OH 45409-1523
Phone: (937) 643-3083
Fax: (937) 643-3089
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Annette M Doctor of Medicine (MD)
Phone: (937) 643-3083

Health care specialties

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

Profile Details

NPI number 1366429342
LBN Legal business name Carillon Family Practice Ltd
DBA Doing business as
Authorized official Chavez, Annette M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 17th, 2009 - about 15 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 1366429342 NPPES
Ohio MEDICAID 2328529

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