Healthcare Provider Details

I. General information

NPI: 1457493322
Provider Name (Legal Business Name): THOMAS ELLERY TURPEN DOM, R.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 TREMONT RD
COLUMBUS OH
43221-2111
US

IV. Provider business mailing address

510 BEAVERBROOK DR
GAHANNA OH
43230-3319
US

V. Phone/Fax

Practice location:
  • Phone: 614-451-7246
  • Fax: 614-451-7248
Mailing address:
  • Phone: 614-451-7246
  • Fax: 614-451-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number65.000003
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number561
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: