Organization
BETHEL INTERNAL MEDICINE AND PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS B EVERSON MD (OWNER)
(513) 734-9200
Entity
Organization
Contact information
Practice address
720 W PLANE ST, BETHEL, OH 45106-8339
(513) 734-9200
(513) 734-9300
Mailing address
PO BOX 713013, COLUMBUS, OH 43271-3013
(513) 734-9200
(513) 734-9300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2944587
—
OH
01
—
DP7944
RR MEDICARE
—
Enumeration date
04/20/2009
Last updated
07/29/2011
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