Healthcare Provider Details

I. General information

NPI: 1205923927
Provider Name (Legal Business Name): SESSLAR FAMILY MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6627 CENTERVILLE BUSINESS PKWY
CENTERVILLE OH
45459-2655
US

IV. Provider business mailing address

6627 CENTERVILLE BUSINESS PKWY
CENTERVILLE OH
45459-2655
US

V. Phone/Fax

Practice location:
  • Phone: 937-312-9212
  • Fax: 937-312-0742
Mailing address:
  • Phone: 937-312-9212
  • Fax: 937-312-0742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER JAMES SESSLAR
Title or Position: OWNER
Credential: M.D.
Phone: 937-312-9212