Provider Demographics
NPI:1386644847
Name:PARTNERS IN PRIMARY CARE INC
Entity Type:Organization
Organization Name:PARTNERS IN PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-626-1118
Mailing Address - Street 1:1019 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4633
Mailing Address - Country:US
Mailing Address - Phone:419-626-1118
Mailing Address - Fax:419-626-2500
Practice Address - Street 1:1019 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4633
Practice Address - Country:US
Practice Address - Phone:419-626-1118
Practice Address - Fax:419-626-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-6386-M207Q00000X
OH35-06-0239-M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0261792Medicaid
OHD7979OtherRAILROAD GROUP PTAN
OH9286161Medicare PIN