Convery, Sean Robert
Convery, Sean Robert is an individual health care provider with primary practice located at 2350 Miami Valley Dr Ste 320, Dayton OH 45459-4778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Convery, Sean Robert can be contacted via phone (937) 312-1661.Contact Information
Primary practice address
2350 Miami Valley Dr Ste 320
Dayton OH 45459-4778
Phone: (937) 312-1661
Fax: (937) 312-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 35.047658 | Ohio |
Profile Details
| NPI number | 1871559146 |
|---|---|
| LBN Legal business name | Convery, Sean Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 27th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871559146 | NPPES |
| Ohio | MEDICAID | 0527826 |
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