NPI | 1346738473 |
---|---|
Entity Type | Organization |
Authorized Contact | JAQUELYN BITLER President 614-695-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34004423) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4478) |
363LF0000X Nurse Practitioner, Family (Licence: OH 02190) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2018-04-24 |