David G Provaznik Do Inc

LBN: David G Provaznik Do Inc
David G Provaznik Do Inc is an health care organization with primary practice located at 11826 Gallia Pike Rd Suite A, Wheelersburg OH 45694-9119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. David G Provaznik Do Inc can be contacted via phone (740) 574-4526, or through Provaznik, David Gerard via phone (740) 574-4526.

Contact Information

Primary practice address
11826 Gallia Pike Rd Suite A Wheelersburg OH 45694-9119
Phone: (740) 574-4526
Fax: (740) 574-2895
Website:
Map and Directions
Authorized official contact:
Name: Provaznik, David Gerard Doctor of Osteopathy (DO)
Phone: (740) 574-4526

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34005337 Ohio

Profile Details

NPI number 1780799775
LBN Legal business name David G Provaznik Do Inc
DBA Doing business as
Authorized official Provaznik, David Gerard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated May 18th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780799775 NPPES
Ohio MEDICAID 0965915

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