Organization
BELLEVUE PROFESSIONAL SERVICES, INC.
Active
Other names
Great lakes Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUIT (CEO)
(419) 483-4040
Entity
Organization
Contact information
Practice address
1400 W MAIN ST, BLDG 1, SUITE A, BELLEVUE, OH 44811-9429
(419) 483-2494
(419) 483-3224
Mailing address
PO BOX 638775, CINCINNATI, OH 45263-8775
(800) 514-4390
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34012014
OH
207Q00000X
Family Medicine Physician
35090068
OH
207V00000X
Obstetrics & Gynecology Physician
34009034
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
35068821
OH
207V00000X
Obstetrics & Gynecology Physician
35127940
OH
207X00000X
Orthopaedic Surgery Physician
34006462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535377
—
OH
Enumeration date
03/15/2006
Last updated
10/23/2023
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