Healthcare Provider Details

I. General information

NPI: 1245251289
Provider Name (Legal Business Name): MS. COLLEEN SEFCIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 STURBRIDGE DR APARTMENT 2B
COLUMBUS OH
43209-4458
US

IV. Provider business mailing address

1995 STURBRIDGE DR APARTMENT 2B
COLUMBUS OH
43209-4458
US

V. Phone/Fax

Practice location:
  • Phone: 614-886-0530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: