Individual
DR. DENNIS AL BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-1911
(937) 687-1888
Mailing address
550 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-1911
(937) 687-1888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281750
ANTHEM BLUE CROSS BLUE SH
OH
05
—
0317142
—
OH
Enumeration date
02/15/2007
Last updated
11/20/2020
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