Healthcare Provider Details
I. General information
NPI: 1457433583
Provider Name (Legal Business Name): NP CARE OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5650 BLAZER PKWY SUITE 100
DUBLIN OH
43017-3562
US
IV. Provider business mailing address
5650 BLAZER PKWY SUITE 100
DUBLIN OH
43017-3562
US
V. Phone/Fax
- Phone: 203-925-9600
- Fax: 203-926-0594
- Phone: 614-734-8300
- Fax: 614-734-8301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
M
CHESS
Title or Position: CEO OWNER
Credential: MD
Phone: 203-925-9600