OrganizationActive
Alliance Physician Inc
NPI 1285916585 · Neurology Physician · Kettering, OH
Provider details
- NPI number
- 1285916585
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Alliance Physician Inc
- Organization subpart
- Yes
- Authorized official
- Daniel Haibach, Director Business Development(937) 558-3222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3533 Southern Blvd
Suite 5200
Kettering, OH 45429-1275
Phone: (937) 395-8043
Fax: (937) 395-8139
Approximate (ZIP-level) locationGet directions
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3660
Other names (DBA / former)
- Doing business as
- Wallace Kettering Neuroscience Institute
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2011-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.