Healthcare Provider Details

I. General information

NPI: 1992005029
Provider Name (Legal Business Name): JULIE A TORSKI P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 01/25/2022
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOSPITAL DR STE 170
ATHENS OH
45701-2865
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 740-331-7111
  • Fax: 740-331-7112
Mailing address:
  • Phone: 614-544-6155
  • Fax: 614-544-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085003854
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601006946
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.003731
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: