Healthcare Provider Details

I. General information

NPI: 1972813111
Provider Name (Legal Business Name): ANNA M TOET LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 BOWTOWN RD
DELAWARE OH
43015-9661
US

IV. Provider business mailing address

3483 RICHARD AVE
GROVE CITY OH
43123-2031
US

V. Phone/Fax

Practice location:
  • Phone: 740-369-7688
  • Fax:
Mailing address:
  • Phone: 614-805-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0030531
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: