Healthcare Provider Details
I. General information
NPI: 1437261955
Provider Name (Legal Business Name): AMERICAN OSTEOPOROSIS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2991 NEWMARK DR
MIAMISBURG OH
45342-5416
US
IV. Provider business mailing address
2991 NEWMARK DR
MIAMISBURG OH
45342-5416
US
V. Phone/Fax
- Phone: 978-772-1888
- Fax: 978-772-2772
- Phone: 937-424-9268
- Fax: 937-424-9272
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0208X |
| Taxonomy | Mobile Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
ED
YOUNG
Title or Position: OWNER/CEO
Credential:
Phone: 937-748-1514