Healthcare Provider Details

I. General information

NPI: 1891888962
Provider Name (Legal Business Name): OBSCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 YANKEE ROAD SUITE B
LIBERTY TWP. OH
45044-9096
US

IV. Provider business mailing address

7324 YANKEE ROAD SUITE B
LIBERTY TWP. OH
45044-9096
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-7716
  • Fax: 513-759-7163
Mailing address:
  • Phone: 513-779-7716
  • Fax: 513-759-7163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. SHERI K SNIVELY
Title or Position: BUSINESS MANAGER
Credential:
Phone: 513-779-7716