Healthcare Provider Details

I. General information

NPI: 1821237041
Provider Name (Legal Business Name): JONATHAN ALDER LOCAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 US HIGHWAY 42 S
PLAIN CITY OH
43064-9238
US

IV. Provider business mailing address

9200 US HIGHWAY 42 S
PLAIN CITY OH
43064-9238
US

V. Phone/Fax

Practice location:
  • Phone: 614-873-8685
  • Fax:
Mailing address:
  • Phone: 614-873-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JANIS THOM
Title or Position: TREASURER
Credential:
Phone: 614-873-8685