Provider Demographics
NPI:1982761060
Name:LOVETT, WILLIAM BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BERNARD
Last Name:LOVETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-4429
Mailing Address - Country:US
Mailing Address - Phone:937-743-9474
Mailing Address - Fax:937-743-9475
Practice Address - Street 1:235 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-4429
Practice Address - Country:US
Practice Address - Phone:937-743-9474
Practice Address - Fax:937-743-9475
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058433207RB0002X, 208D00000X
OH35-058433207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0745617Medicaid
OHLO4278682Medicare PIN