Provider Demographics
NPI:1609058213
Name:DENEE R CHOICE, MD INCORPORATED
Entity Type:Organization
Organization Name:DENEE R CHOICE, MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHOICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-702-7110
Mailing Address - Street 1:4455 STATE ROUTE 159
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8620
Mailing Address - Country:US
Mailing Address - Phone:740-702-7110
Mailing Address - Fax:740-702-7111
Practice Address - Street 1:4455 STATE ROUTE 159
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8620
Practice Address - Country:US
Practice Address - Phone:740-702-7110
Practice Address - Fax:740-702-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069449208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2116758Medicaid
OH9315611Medicare PIN