Provider Demographics
NPI:1710004734
Name:CORRECT HEALTHCARE PROFESSIONALS INC.
Entity Type:Organization
Organization Name:CORRECT HEALTHCARE PROFESSIONALS INC.
Other - Org Name:DULAN & MOORE DULAN FAMILY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:DULAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-932-7951
Mailing Address - Street 1:1000 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8330
Mailing Address - Country:US
Mailing Address - Phone:513-932-7951
Mailing Address - Fax:513-932-9664
Practice Address - Street 1:1000 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8330
Practice Address - Country:US
Practice Address - Phone:513-932-7951
Practice Address - Fax:513-932-9664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty