Provider Demographics
NPI:1437261955
Name:AMERICAN OSTEOPOROSIS SERVICES INC
Entity Type:Organization
Organization Name:AMERICAN OSTEOPOROSIS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ED
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-748-1514
Mailing Address - Street 1:2991 NEWMARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5416
Mailing Address - Country:US
Mailing Address - Phone:937-424-9268
Mailing Address - Fax:937-424-9272
Practice Address - Street 1:2991 NEWMARK DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5416
Practice Address - Country:US
Practice Address - Phone:978-772-1888
Practice Address - Fax:978-772-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9002827Medicaid
MA9780645Medicaid
MA9780645Medicaid
RI479002827Medicare PIN
CT470000015Medicare PIN
MA327023Medicare PIN
470000434Medicare PIN