| Assisted Living Medical Providers Llc | |
|
7901 Diley Rd Suite 260 Canal Winchester OH 43110-9612 | |
| (614) 834-3764 | |
| (614) 417-1438 |
| Full Name | Assisted Living Medical Providers Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7901 Diley Rd, Canal Winchester, Ohio |
| Authorized Official Name and Position | David Whitt (OWNER) |
| Authorized Official Contact | 6148341438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assisted Living Medical Providers Llc Po Box 876 New Albany OH 43054-0876 Ph: (614) 834-3764 | Assisted Living Medical Providers Llc 7901 Diley Rd Suite 260 Canal Winchester OH 43110-9612 Ph: (614) 834-3764 |
| NPI Number | 1326435181 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326435181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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