# PROHEALTH PHYSICIAN GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912208729
- **Authorized official:** RITCHIE ADAMS (OWNER/CEO)
- **Authorized official phone:** (419) 491-7150

## Contact information

- **Practice address:** 12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
- **Practice address phone:** (877) 511-9739
- **Practice address fax:** (866) 437-9066
- **Mailing address:** 12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
- **Mailing address phone:** (877) 511-9739
- **Mailing address fax:** (866) 437-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2010
- **Last updated:** 12/30/2020