Healthcare Provider Details

I. General information

NPI: 1467131854
Provider Name (Legal Business Name): JULIA JEAN KRANTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/30/2023
Certification Date: 07/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 CHECKREIN AVE
COLUMBUS OH
43229-1106
US

IV. Provider business mailing address

445 E DUBLIN GRANVILLE RD
WORTHINGTON OH
43085-3192
US

V. Phone/Fax

Practice location:
  • Phone: 614-844-3800
  • Fax: 614-844-6258
Mailing address:
  • Phone: 614-844-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number106S00000X
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number247200000X
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number106S00000X
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: