Provider Demographics
NPI:1790527737
Name:MEDSPEDITE LLC
Entity type:Organization
Organization Name:MEDSPEDITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:I
Authorized Official - Last Name:ONYECHE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-610-6899
Mailing Address - Street 1:3860 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-1598
Mailing Address - Country:US
Mailing Address - Phone:937-610-6899
Mailing Address - Fax:
Practice Address - Street 1:3860 GRANT AVE
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-1598
Practice Address - Country:US
Practice Address - Phone:937-610-6899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health