Organization
BECKETT SPRINGS PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA WARREN (DIRECTOR CREDENTIALING & PAYOR ENRO)
(502) 400-8480
Entity
Organization
Contact information
Practice address
8614 SHEPHERD FARM DR, WEST CHESTER, OH 45069-1128
(513) 942-9500
(513) 714-7374
Mailing address
8614 SHEPHERD FARM DR, WEST CHESTER, OH 45069-1128
(513) 942-9500
(513) 714-7374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103989
—
OH
Enumeration date
05/15/2014
Last updated
10/11/2021
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