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NPI Code Detail

MEDICARE: DR. ALFRED M SASSLER DO

MEDICARE:  DR. ALFRED M SASSLER  DO
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
1207Y00000XOtolaryngology Physician02420KY
2207Y00000XOtolaryngology Physician34006187OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102420OTHERKYAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000050862OTHERKYANTHEM BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
66112740750000OTHERKYBLUEGRASS FAMILY HEALTH

General Provider Information

NPI Number : 1578545752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED M SASSLER DO
Provider Business Mailing Address
First Line : 7690 DISCOVERY DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6542
Country : US
Telephone Number : 513-475-8400
Fax Number : 513-475-8228
Provider Business Practice Location Address
First Line : 7690 DISCOVERY DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6542
Country : US
Telephone Number : 513-475-8400
Fax Number : 513-475-8228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 03/15/2016

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Directions to “ DR. ALFRED M SASSLER DO” Practice Location

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