Healthcare Provider Details

I. General information

NPI: 1003807033
Provider Name (Legal Business Name): WILLIAM E ADDINGTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 SPORTSMAN DR
MARENGO OH
43334-1800
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 672-330-4105
  • Fax: 614-533-1440
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34-00-7270-A
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: