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Alliance Physician Inc

Organization Active NPI Surgery Physician · Kettering, OH

NPI 1619259918 · NPPES record last updated Sep 13, 2011

Key facts

NPI
1619259918
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
ALLIANCE PHYSICIAN INC
Practice address
3533 Southern Blvd
Suite 2250
Kettering, OH 45429-1270
Phone
(937) 534-0330
Fax
(937) 534-0340
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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Centerville Family Prac (77 organizations share this tax ID)
Part of
Centerville Family Prac

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

3533 Southern Blvd
Suite 2250
Kettering, OH 45429-1270

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838

Other identifiers

IdentifierTypeStateIssuer
2712872MedicaidOH

Other names

  • South Dayton Surgeons Doing business as

Other providers in Kettering, OH

All providers in Kettering, OH · Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.