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Organization
APP OF OHIO HM PLLC
Active
Organization
APP OF OHIO HM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SOMERBY (VP)
(615) 928-6264
Entity
Organization
Contact information
Practice address
1010 W STATE ROAD 2, LA PORTE, IN 46350-5465
(574) 647-1817
(629) 216-0568
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2017
Last updated
01/13/2022
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