Healthcare Provider Details

I. General information

NPI: 1619618279
Provider Name (Legal Business Name): OLIVIA GRACE VERHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 CHAPEL DR STE D
FINDLAY OH
45840-1344
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 419-424-1922
  • Fax:
Mailing address:
  • Phone: 614-722-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35153176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: