Healthcare Provider Details

I. General information

NPI: 1003649534
Provider Name (Legal Business Name): GINA MARIA FALK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 SUMPTION DR
GAHANNA OH
43230-1639
US

IV. Provider business mailing address

1766 ELMBROOK LN
REYNOLDSBURG OH
43068-3079
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-1466
  • Fax:
Mailing address:
  • Phone: 614-446-1473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: