Provider Demographics
NPI:1871779835
Name:WILLIAM P SAWYER
Entity type:Organization
Organization Name:WILLIAM P SAWYER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ERB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-769-4951
Mailing Address - Street 1:11714 US ROUTE 42
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2039
Mailing Address - Country:US
Mailing Address - Phone:513-769-4951
Mailing Address - Fax:513-769-4964
Practice Address - Street 1:11714 US ROUTE 42
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2039
Practice Address - Country:US
Practice Address - Phone:513-769-4951
Practice Address - Fax:513-769-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCM4296OtherRAILROAD MEDICARE GRP PIN
OHA15824Medicare UPIN
OH9930281Medicare PIN