Provider Demographics
NPI:1114254059
Name:ABERDEEN MEDICAL
Entity Type:Organization
Organization Name:ABERDEEN MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAJOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-675-2344
Mailing Address - Street 1:1650 U.S. HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:OH
Mailing Address - Zip Code:45101-9324
Mailing Address - Country:US
Mailing Address - Phone:937-795-2680
Mailing Address - Fax:
Practice Address - Street 1:1650 U.S. HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-9324
Practice Address - Country:US
Practice Address - Phone:937-795-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain