Mezoff, Adam Gary
Mezoff, Adam Gary is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Mezoff, Adam Gary can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1873
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35049234 | Ohio |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 35.049234 | Ohio |
Profile Details
NPI number | 1710943758 |
---|---|
LBN Legal business name | Mezoff, Adam Gary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Oct 15th, 2023 - about 2 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 | 1710943758 | NPPES |
Ohio | MEDICAID | 0534121 |
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