Healthcare Provider Details

I. General information

NPI: 1942114079
Provider Name (Legal Business Name): CLAYTON HEALTH AND WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 N MAIN ST
DAYTON OH
45415-2250
US

IV. Provider business mailing address

8015 N MAIN ST
DAYTON OH
45415-2250
US

V. Phone/Fax

Practice location:
  • Phone: 937-247-9102
  • Fax: 818-584-8939
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EBENEZER ALUMA
Title or Position: OWNER
Credential: PA-C, PHD
Phone: 614-364-0429