INDEPENDENT PROVIDER

Exclusive Provider Organization

Active Organization
NPI: 1821217308

Practice Address

2273 NEWLOVE RD
S Charleston, OH 45368

Phone: (937) 324-4438

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X No SK307751 (OH)
Exclusive Provider Organization 302F00000X Yes SK307751 (OH)

Frequently Asked Questions

NPI 1821217308 is the National Provider Identifier for INDEPENDENT PROVIDER, a Exclusive Provider Organization provider located in S Charleston, OH. This NPI was enumerated on April 24, 2007.

Quick Facts

NPI
1821217308
Type
Organization
Enumerated
Apr 24, 2007
Last Updated
Sep 11, 2025

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