Healthcare Provider Details

I. General information

NPI: 1669710810
Provider Name (Legal Business Name): ANDREW F KRIZMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2013
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3848 HARD RD STE 109
DUBLIN OH
43016-8025
US

IV. Provider business mailing address

934 S MAIN ST
BELLEFONTAINE OH
43311-1615
US

V. Phone/Fax

Practice location:
  • Phone: 614-389-6104
  • Fax: 614-389-6131
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberIL.02898
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: