MEDICARE: MERCER OSTEOPATHIC LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34 004555	OH
2	363L00000X	Nurse Practitioner	NP 05008	OH
3	207Q00000X	Family Medicine Physician	34 005329	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316967904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCER OSTEOPATHIC LTD

Provider Business Mailing Address
First Line	:	1830 UNION CITY RD
Second Line	:
City	:	FT RECOVERY
State	:	OH
Zip	:	45846-0635
Country	:	US
Telephone Number	:	419-375-4144
Fax Number	:	419-375-4361

Provider Business Practice Location Address
First Line	:	1830 UNION CITY ROAD
Second Line	:
City	:	FORT RECOVERY
State	:	OH
Zip	:	45846-0635
Country	:	US
Telephone Number	:	419-375-4144
Fax Number	:	419-375-4361

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDWARD E HOSBACH
Credential	:	DO
Telephone Number	:	419-375-4144

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	06/04/2010

Similar Medicare Providers

1023018942 — BEVERLY J UHLENHAKE NP
Practice Location Address:

1830 UNION CITY RD
FORT RECOVERY, OH
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1588636849 — FT RECOVERY FAMILY MEDICINE, INC
Practice Location Address:

807 BLUE JACKET DRIVE
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45846

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1245298900 — DR. DAVID M ROHRER MD
Practice Location Address:

807 BLUE JACKET DR
FORT RECOVERY, OH
45846-9790

Practice Phone: 419-375-2112
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1033289202 — DR. DANIEL JOSEPH CARR D.C.
Practice Location Address:

112 WEST BUTLER STREET
FORT RECOVERY, OH
45846-0672

Practice Phone: 419-375-1808
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1770645293 — DAWN R GOODWIN RPH
Practice Location Address:

102 N WAYNE ST
FORT RECOVERY, OH
45846-8059

Practice Phone: 419-375-2323
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1629132105 — SUSAN HOMAN
Practice Location Address:

110 EAST BUTLER STREET
FORT RECOVERY, OH
45846

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Directions to “MERCER OSTEOPATHIC LTD ” Practice Location

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