Addison, Augustina

Addison, Augustina is an individual health care provider with primary practice located at 3130 N County Road 25A Ste 205 , Troy OH 45373-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Addison, Augustina can be contacted via phone (937) 335-1660.

Contact Information

Primary practice address
3130 N County Road 25A Ste 205 Troy OH 45373-1337
Phone: (937) 335-1660
Fax: (937) 440-4020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MT209133 Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.140195 Ohio

Profile Details

NPI number 1962883587
LBN Legal business name Addison, Augustina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Oct 16th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962883587 NPPES
Ohio MEDICAID 0413049

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