Healthcare Provider Details

I. General information

NPI: 1033455373
Provider Name (Legal Business Name): PREMIER HEALTH SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2012
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SUGAR CAMP CIR STE 200
DAYTON OH
45409-1962
US

IV. Provider business mailing address

105 SUGAR CAMP CIR STE 200
DAYTON OH
45409-1962
US

V. Phone/Fax

Practice location:
  • Phone: 937-222-3937
  • Fax: 937-223-5416
Mailing address:
  • Phone: 937-222-3937
  • Fax: 937-223-5416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER J DANIS
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 937-499-9015