MEDICARE: PARTNERS IN PRIMARY CARE INC

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	34-00-6386-M	OH
2	207R00000X	Internal Medicine Physician	35-06-0239-M	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	D7979	OTHER	OH	RAILROAD GROUP PTAN

General Provider Information

NPI Number	:	1386644847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN PRIMARY CARE INC

Provider Business Mailing Address
First Line	:	1019 PIERCE ST
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4633
Country	:	US
Telephone Number	:	419-626-1118
Fax Number	:	419-626-2500

Provider Business Practice Location Address
First Line	:	1019 PIERCE ST
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4633
Country	:	US
Telephone Number	:	419-626-1118
Fax Number	:	419-626-2500

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID MORRIS
Credential	:	MD
Telephone Number	:	419-626-1118

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	12/20/2007

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Directions to “PARTNERS IN PRIMARY CARE INC ” Practice Location

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