Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

419-647-4584

Organization Point of Service · NPI 1750686770

419-647-4584 is a Point of Service in Spencerville, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
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Practice location Address checks out

102 S Broadway St
Spencerville, OH 45887-1267
Phone: (614) 582-9253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence 788776765655 (OH)

Record details

NPI number1750686770
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNo
Authorized official Cathy Bates — Student · (419) 647-9999
NPI enumeratedJanuary 23, 2011
Last updated in NPPESJanuary 23, 2011
Mailing address102 S Broadway St, Spencerville, OH 45887-1267