Healthcare Provider Details

I. General information

NPI: 1275086258
Provider Name (Legal Business Name): THE GREY BUDHA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 S PRINCETON AVE # B
COLUMBUS OH
43222-1331
US

IV. Provider business mailing address

78 S PRINCETON AVE # B
COLUMBUS OH
43222-1331
US

V. Phone/Fax

Practice location:
  • Phone: 614-975-7683
  • Fax:
Mailing address:
  • Phone: 614-975-7683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH A. DUNSON
Title or Position: DIRECTOR
Credential:
Phone: 614-975-7683