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NPI Code Detail

MEDICARE: BAIR FAMILY PRACTICE LLC

MEDICARE: BAIR FAMILY PRACTICE LLC
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
1207Q00000XFamily Medicine Physician34011557OH

General Provider Information

NPI Number : 1932575735
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAIR FAMILY PRACTICE LLC
Provider Business Mailing Address
First Line : 8700 E MARKET ST
Second Line : SUITE 4
City : WARREN
State : OH
Zip : 44484-2340
Country : US
Telephone Number : 330-856-1035
Fax Number : 330-856-6500
Provider Business Practice Location Address
First Line : 8700 E MARKET ST
Second Line : SUITE 4
City : WARREN
State : OH
Zip : 44484-2340
Country : US
Telephone Number : 330-856-1035
Fax Number : 330-856-6500
Authorized Official
Title or Position : PRESIDENT
Name : DR. JACOB ALEXANDER BAIR
Credential : D.O.
Telephone Number : 330-856-1035
Provider Enumeration Date : 08/15/2015
Last Update Date : 08/15/2015

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Directions to “BAIR FAMILY PRACTICE LLC ” Practice Location

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