Healthcare Provider Details

I. General information

NPI: 1710827381
Provider Name (Legal Business Name): ANDREA SABO CPRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1453 E MAIN ST
COLUMBUS OH
43205-2152
US

IV. Provider business mailing address

1453 E MAIN ST
COLUMBUS OH
43205-2152
US

V. Phone/Fax

Practice location:
  • Phone: 614-671-2903
  • Fax: 614-549-7507
Mailing address:
  • Phone: 614-671-2903
  • Fax: 614-549-7507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPRS.007472
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: