Alliance Physician Inc
Organization Active NPI Cardiovascular Disease Physician · Dayton, OH
NPI 1598047896 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1598047896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- ALLIANCE PHYSICIAN INC
- Practice address
- 425 W Grand Ave
Suite 1003
Dayton, OH 45405-4776 - Phone
- (937) 723-5898
- Fax
- (937) 461-6038
- NPI assigned
- Sep 13, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIANCE PHYSICIAN INC
Authorized official
- Name
- Daniel D Haibach
- Title
- Director Business Development
- Phone
- (937) 558-3222
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Centerville Family Prac
- Part of
- Centerville Family Prac
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
425 W Grand Ave
Suite 1003
Dayton, OH 45405-4776
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2712872 | Medicaid | OH |
Other names
- Steven P Young
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All providers in Dayton, OH · Cardiovascular Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.