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NPI Code Detail

MEDICARE: ESSEX HEALTHCARE CORP

MEDICARE: ESSEX HEALTHCARE CORP
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
1291U00000XClinical Medical Laboratory36D0917842OH

General Provider Information

NPI Number : 1477707420
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSEX HEALTHCARE CORP
Provider Business Mailing Address
First Line : 2317 E HOME RD
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-2520
Country : US
Telephone Number : 937-399-9217
Fax Number :
Provider Business Practice Location Address
First Line : 2317 E HOME RD
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-2520
Country : US
Telephone Number : 937-399-9217
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : DENNIS LOCKHART
Credential :
Telephone Number : 614-416-0600
Provider Enumeration Date : 11/04/2008
Last Update Date : 11/04/2008

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Directions to “ESSEX HEALTHCARE CORP ” Practice Location

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