Healthcare Provider Details

I. General information

NPI: 1548352735
Provider Name (Legal Business Name): MARION ANESTHESIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 DELAWARE AVE SUITE 108
MARION OH
43302
US

IV. Provider business mailing address

1199 DELAWARE AVE SUITE 108
MARION OH
43302
US

V. Phone/Fax

Practice location:
  • Phone: 740-375-0200
  • Fax: 740-375-0040
Mailing address:
  • Phone: 740-375-0200
  • Fax: 740-375-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MEENA CHADHA
Title or Position: OWNER
Credential:
Phone: 740-375-0200