Caroline H Kennebeck Md Inc

LBN: Caroline H Kennebeck Md Inc
Caroline H Kennebeck Md Inc is an health care organization with primary practice located at 5701 Far Hills Ave , Dayton OH 45429-2207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Caroline H Kennebeck Md Inc can be contacted via phone (937) 435-6222, or through Sewak, Lois Ann via phone (937) 435-6222.

Contact Information

Primary practice address
5701 Far Hills Ave Dayton OH 45429-2207
Phone: (937) 435-6222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sewak, Lois Ann
Phone: (937) 435-6222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35086104 Ohio

Profile Details

NPI number 1588864870
LBN Legal business name Caroline H Kennebeck Md Inc
DBA Doing business as
Authorized official Sewak, Lois Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2007
Last updated Jul 24th, 2007 - about 17 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 1588864870 NPPES
Ohio Other CA9356401 MEDICARE GROUP ID
Ohio Other KE4167291 MEDICARE GROUP ID
Ohio MEDICAID 2605738 MEDICARE GROUP ID

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