Healthcare Provider Details

I. General information

NPI: 1588415087
Provider Name (Legal Business Name): ARKBUILDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 BUSCH BLVD STE 200
COLUMBUS OH
43229-8259
US

IV. Provider business mailing address

6933 STARFIRE DR
REYNOLDSBURG OH
43068-1736
US

V. Phone/Fax

Practice location:
  • Phone: 614-746-2443
  • Fax:
Mailing address:
  • Phone: 614-746-2443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: GEORGE ALLEN HICKS
Title or Position: CEO
Credential:
Phone: 614-746-2443