Philip G Frisch, BS CHEMISTRY

Individual provider Active NPI Clinical Laboratory Director (Non-physician) · Wauseon, OH

NPI 1003524992 · NPPES record last updated Nov 15, 2022

Key facts

NPI
1003524992
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Laboratory Director (Non-physician) 247ZC0005X
Practice address
1056 N Ottokee St
Wauseon, OH 43567-1900
Phone
(419) 404-9003
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc Past
since Nov 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X NA OH
Clinical Laboratory Director (Non-physician) 247ZC0005X OH Yes

Addresses

Primary practice location

1056 N Ottokee St
Wauseon, OH 43567-1900

Mailing address

3593 W Long Lake Dr
Reading, MI 49274-9783
Phone (419) 601-3420

Other providers in Wauseon, OH

All providers in Wauseon, OH · Clinical Laboratory Director (Non-physician) in Ohio

Sources for this page

Verify at the official NPI Registry.