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INTERNAL MEDICINE OF CENTERVILLE LLC NPI 1265801195


NPI Information

NPI: 1265801195
Provider Name: INTERNAL MEDICINE OF CENTERVILLE, LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
8002 MCEWEN RD
CENTERVILLE, OH
ZIP 45458
Phone: (937) 681-9507
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INTERNAL MEDICINE OF CENTERVILLE, LLC is an addiction medicine internal medicine in Centerville, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. INTERNAL MEDICINE OF CENTERVILLE, LLC NPI is 1265801195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8002 MCEWEN RD
CENTERVILLE, OH
ZIP 45458-033
Phone: (937) 681-9507
Fax: (937) 221-8242

The provider's authorized official is Glenn H Kluge .
The authorized official title is President and has the following contact phone number (937) 681-9507.

The enumeration date for this NPI number is 9/22/2015 and was last updated on 9/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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