Healthcare Provider Details

I. General information

NPI: 1437016524
Provider Name (Legal Business Name): JOSEPH ALEXANDER EASLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E 4TH AVE
COLUMBUS OH
43201-3772
US

IV. Provider business mailing address

608 E 4TH AVE
COLUMBUS OH
43201-3772
US

V. Phone/Fax

Practice location:
  • Phone: 267-398-3259
  • Fax:
Mailing address:
  • Phone: 267-398-3259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: