Provider Demographics
NPI:1508810011
Name:PHYSICIANS INC
Entity Type:Organization
Organization Name:PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:S
Authorized Official - Middle Name:KATIE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-227-7399
Mailing Address - Street 1:750 W HIGH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3959
Mailing Address - Country:US
Mailing Address - Phone:419-227-7399
Mailing Address - Fax:419-229-0123
Practice Address - Street 1:750 W HIGH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3959
Practice Address - Country:US
Practice Address - Phone:419-227-7399
Practice Address - Fax:419-229-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1126IC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000024846OtherANTHEM
OH0236471Medicaid
OH=========013OtherMEDICAL MUTUAL OF OHIO
OH0236471Medicaid
OH0236471Medicaid