Healthcare Provider Details

I. General information

NPI: 1568854222
Provider Name (Legal Business Name): PRESCRIPTIONOLOGY PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E BROAD ST
COLUMBUS OH
43205-1381
US

IV. Provider business mailing address

1000 E BROAD ST
COLUMBUS OH
43205-1381
US

V. Phone/Fax

Practice location:
  • Phone: 513-515-7344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number35048255
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SWEITZER
Title or Position: OWNER
Credential:
Phone: 513-515-7344