Genesis Eldercare Physician Services LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1366840811

Genesis Eldercare Physician Services LLC is a Geriatric Medicine (Internal Medicine) Physician in Bryan, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in: OH
In the registry since: 2014

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1104 Wesley Ave
Bryan, OH 43506
Phone: (419) 636-5071

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RG0300X · Licence 201315000306 (OH)

Record details

NPI number	1366840811
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Eric Shapiro — Vice President · (410) 832-7790
NPI enumerated	December 16, 2014
Last updated in NPPES	August 5, 2019
Mailing address	Po Box 62946, Baltimore, MD 21264-2946