Organization
MERCER OSTEOPATHIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E HOSBACH DO (PRESIDENT)
(419) 375-4144
Entity
Organization
Contact information
Practice address
1830 UNION CITY ROAD, FORT RECOVERY, OH 45846-0635
(419) 375-4144
(419) 375-4361
Mailing address
1830 UNION CITY RD, FT RECOVERY, OH 45846-0635
(419) 375-4144
(419) 375-4361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34 004555
OH
207Q00000X
Family Medicine Physician
Primary
34 005329
OH
363L00000X
Nurse Practitioner
NP 05008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234455
—
OH
05
—
0752412
—
OH
05
—
0931782
—
OH
05
—
2134327
—
OH
Enumeration date
07/19/2006
Last updated
06/04/2010
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