| Darby Family Practice, Inc | |
|
487 W Main St West Jefferson OH 43162-1178 | |
| (614) 879-6622 | |
| (614) 879-4043 |
| Full Name | Darby Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 487 W Main St, West Jefferson, Ohio |
| Authorized Official Name and Position | Kathleen Sue Busch (PRESIDENT) |
| Authorized Official Contact | 6148796622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darby Family Practice, Inc 487 W Main St West Jefferson OH 43162-1178 Ph: (614) 879-6622 | Darby Family Practice, Inc 487 W Main St West Jefferson OH 43162-1178 Ph: (614) 879-6622 |
| NPI Number | 1669644159 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644159 | NPI | - | NPPES |
| 2271901 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35077094 (Ohio) | Primary |
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