Healthcare Provider Details

I. General information

NPI: 1831959519
Provider Name (Legal Business Name): IAN H. SOHN CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BRICE RD N #300
COLUMBUS OH
43213
US

IV. Provider business mailing address

1577 NEIL AVE
COLUMBUS OH
43210
US

V. Phone/Fax

Practice location:
  • Phone: 224-251-9326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0038425
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.501254
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: