Organization
PULMONARY & CRITICAL CARE CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNNA HOLBERT (OPERATIONS MANAGER)
(937) 461-2057
Entity
Organization
Contact information
Practice address
1520 S MAIN ST STE 2, DAYTON, OH 45409-2643
(937) 461-5815
(937) 461-2896
Mailing address
1520 S MAIN ST, #2, DAYTON, OH 45409-2698
(937) 461-5815
(937) 461-2896
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562707
—
OH
Enumeration date
06/07/2006
Last updated
06/18/2024
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