David J Ettinger, Md

LBN: Greene Memorial Hospital Services, Llc
David J Ettinger, Md is an health care organization with primary practice located at 3359 Kemp Rd Suite 200, Beavercreek OH 45431-2565. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Greene Memorial Hospital Services, Llc can be contacted via phone (937) 429-7307, or through Haibach, Daniel D via phone (937) 558-3222.

Contact Information

Primary practice address
3359 Kemp Rd Suite 200 Beavercreek OH 45431-2565
Phone: (937) 429-7307
Fax: (937) 429-7320
Website:
Map and Directions
Authorized official contact:
Name: Haibach, Daniel D
Phone: (937) 558-3222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1689941403
LBN Legal business name Greene Memorial Hospital Services, Llc
DBA Doing business as David J Ettinger, Md
Authorized official Haibach, Daniel D
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 13 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 1689941403 NPPES
Ohio MEDICAID 2639630

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