Sylvan Oak Family Physicians Llc

LBN: Sylvan Oak Family Physicians Llc
Sylvan Oak Family Physicians Llc is an health care organization with primary practice located at 6800 W Central Ave Unit K, Toledo OH 43617-1135. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sylvan Oak Family Physicians Llc can be contacted via phone (417) 841-1510, or through Wentz, Mark A via phone (419) 841-1510.

Contact Information

Primary practice address
6800 W Central Ave Unit K Toledo OH 43617-1135
Phone: (417) 841-1510
Fax: (419) 841-1513
Website:
Map and Directions
Authorized official contact:
Name: Wentz, Mark A Doctor of Medicine (MD)
Phone: (419) 841-1510

Health care specialties

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

Profile Details

NPI number 1104971290
LBN Legal business name Sylvan Oak Family Physicians Llc
DBA Doing business as
Authorized official Wentz, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Feb 6th, 2009 - about 17 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 1104971290 NPPES
Ohio Other 000000343375 ANTHEM
Ohio Other DC0339 ANTHEM
Ohio MEDICAID 2595302 ANTHEM

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