Organization Name: | ADENA HEALTH SYSTEM |
NPI Number: | 1063601755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT M ROSENBERGER (CFO) |
Mailing Address: | 4439 State Route 159 Suite 100 Chillicothe |
State: | OH US |
Postal Code: | 456018207 |
Phone Number: | 7407794393 |
Fax Number: | 7407794399 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | 34006288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |