Kettering Vascular Surgery Associates
LBN: Alliance Physician Inc
Kettering Vascular Surgery Associates is an health care organization with primary practice located at 2141 N Fairfield Rd Suite B, Beavercreek OH 45431-2579. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Alliance Physician Inc can be contacted via phone (937) 458-0085, or through Haibach, Daniel D via phone (937) 558-3222.
Contact Information
Primary practice address
2141 N Fairfield Rd Suite B
Beavercreek OH 45431-2579
Phone: (937) 458-0085
Fax: (937) 458-0212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1730461047 |
|---|---|
| LBN Legal business name | Alliance Physician Inc |
| DBA Doing business as | Kettering Vascular Surgery Associates |
| Authorized official | Haibach, Daniel D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 13th, 2011 |
| Last updated | Sep 9th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730461047 | NPPES |
| Ohio | MEDICAID | 2712872 |
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