Provider Demographics
NPI:1306816970
Name:PERSONAL BEST HEALTH, LLC
Entity Type:Organization
Organization Name:PERSONAL BEST HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHUERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-325-0398
Mailing Address - Street 1:6239 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-6122
Mailing Address - Country:US
Mailing Address - Phone:513-325-0398
Mailing Address - Fax:513-385-3952
Practice Address - Street 1:6239 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247
Practice Address - Country:US
Practice Address - Phone:513-325-0398
Practice Address - Fax:513-385-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDD8383OtherMEDICARE RAILROAD
OHPE9345151Medicare PIN