Healthcare Provider Details

I. General information

NPI: 1962489435
Provider Name (Legal Business Name): OHIO ALLERGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8039 WASHINGTON VILLAGE DRIVE STE 100
CENTERVILLE OH
45458-3859
US

IV. Provider business mailing address

8039 WASHINGTON VILLAGE DRIVE STE 100
CENTERVILLE OH
45458-3859
US

V. Phone/Fax

Practice location:
  • Phone: 937-435-8999
  • Fax: 937-435-4211
Mailing address:
  • Phone: 937-435-8999
  • Fax: 937-435-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTURO JOSE BONNIN
Title or Position: PRESIDENT
Credential: MD
Phone: 937-435-8999