Healthcare Provider Details

I. General information

NPI: 1477602811
Provider Name (Legal Business Name): FAYETTE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 S FAYETTE ST
WASHINGTON CH OH
43160-2449
US

IV. Provider business mailing address

317 S FAYETTE ST
WASHINGTON CH OH
43160-2449
US

V. Phone/Fax

Practice location:
  • Phone: 740-335-5910
  • Fax: 740-333-3528
Mailing address:
  • Phone: 740-335-5910
  • Fax: 740-333-3528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number34004278
License Number StateOH

VIII. Authorized Official

Name: DR. ROBERT C VANZANT
Title or Position: HEALTH COMMISSIONER
Credential: DVM
Phone: 740-335-5910