Independent Provider
Independent Provider is an Exclusive Provider Organization in S Charleston, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2273 Newlove RdS Charleston, OH 45368-9732
Phone: (937) 324-4438
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence SK307751 (OH) |
|---|---|
| Preferred Provider Organization | Taxonomy 305R00000X · Licence SK307751 (OH) |
Record details
| NPI number | 1821217308 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Capper — Independent Provider · (937) 324-4438 |
| Other names | Independent Provider |
| NPI enumerated | April 24, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | Po Box 427, S Charleston, OH 45368-0427 |