Healthcare Provider Details

I. General information

NPI: 1528362183
Provider Name (Legal Business Name): CORPORATE HEALTH OF OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 INDUSTRIAL DR
FRANKLIN OH
45005-4429
US

IV. Provider business mailing address

235 INDUSTRIAL DR
FRANKLIN OH
45005-4429
US

V. Phone/Fax

Practice location:
  • Phone: 937-743-9474
  • Fax: 937-743-9475
Mailing address:
  • Phone: 937-743-9474
  • Fax: 937-743-9475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35058433
License Number StateOH

VIII. Authorized Official

Name: DR. WILLIAM B LOVETT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-743-9474