Fc Ohio, LLC

NPI #1144785098 in Sidney, Ohio

Provider Information

NPI Number
1144785098
Entity Type
Organization
Organization Name
Fc Ohio, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 5, 2019
Last Updated
Feb 5, 2019

Practice Location

Address
2006 MICHIGAN ST
City
Sidney
State
Ohio
ZIP Code
45365-9069
Phone
(937) 419-4944

Authorized Official

Name
ANDREW MICHAEL DEANE
Title
CREDENTIALING MANAGER
Phone
(615) 600-3478

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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