Healthcare Provider Details

I. General information

NPI: 1194634618
Provider Name (Legal Business Name): JOHN PERRY
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 KOHLER ST
PICKERINGTON OH
43147-3400
US

IV. Provider business mailing address

104 KOHLER ST
PICKERINGTON OH
43147-3400
US

V. Phone/Fax

Practice location:
  • Phone: 614-588-5594
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: