Organization Name: | HELLER FAMILY MEDICINE, LLC |
NPI Number: | 1831545508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY HENDERSON (MANAGER) |
Mailing Address: | 7967 Cincinnati Dayton Rd West Chester |
State: | OH US |
Postal Code: | 450692026 |
Phone Number: | 5136850949 |
Fax Number: | 5132820946 |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |