Healthcare Provider Details

I. General information

NPI: 1255834628
Provider Name (Legal Business Name): RFC HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 BROADVIEW RD
RICHFIELD OH
44286-9596
US

IV. Provider business mailing address

3871 BROADVIEW RD
RICHFIELD OH
44286-9596
US

V. Phone/Fax

Practice location:
  • Phone: 660-349-9331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36.003858
License Number StateOH

VIII. Authorized Official

Name: SARAH BETH NEWEY
Title or Position: PODIATRIST
Credential: DPM
Phone: 660-349-9331