Convery, Sean Robert

Convery, Sean Robert is an individual health care provider with primary practice located at 2350 Miami Valley Dr Ste 320, Dayton OH 45459-4778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Convery, Sean Robert can be contacted via phone (937) 312-1661.

Contact Information

Primary practice address
2350 Miami Valley Dr Ste 320 Dayton OH 45459-4778
Phone: (937) 312-1661
Fax: (937) 312-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.047658 Ohio

Profile Details

NPI number 1871559146
LBN Legal business name Convery, Sean Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 27th, 2013 - about 13 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 1871559146 NPPES
Ohio MEDICAID 0527826

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