| Premise Health Of Ohio Medical, P.a | |
|
200 Progressive Drive Fort Jennings OH 45844 | |
| (419) 453-1111 | |
| Not Available |
| Full Name | Premise Health Of Ohio Medical, P.a |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Progressive Drive, Fort Jennings, Ohio |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Ohio Medical, P.a 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Ohio Medical, P.a 200 Progressive Drive Fort Jennings OH 45844 Ph: (419) 453-1111 |
| NPI Number | 1447926845 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447926845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |