Provider Demographics
NPI:1003847922
Name:ARTHRITIS & OSTEOPOROSIS CENTER OF SOUTHWEST OHIO LLC
Entity Type:Organization
Organization Name:ARTHRITIS & OSTEOPOROSIS CENTER OF SOUTHWEST OHIO LLC
Other - Org Name:CHACKO J ALAPPATT, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHACKO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALAPPATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-886-5510
Mailing Address - Street 1:60 REMICK BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-9168
Mailing Address - Country:US
Mailing Address - Phone:937-886-5510
Mailing Address - Fax:937-886-5595
Practice Address - Street 1:60 REMICK BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-9168
Practice Address - Country:US
Practice Address - Phone:937-886-5510
Practice Address - Fax:937-886-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078283207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-00OtherOHIO BWC GROUP #
OH=========OtherTAX ID#
OHARSP05511Medicare ID - Type UnspecifiedOHIO MEDICARE GROUP #