MEDICARE: MEGAN THALER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S1450761	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063813954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN THALER

Provider Business Mailing Address
First Line	:	5202 BETHEL REED PARK STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1818
Country	:	US
Telephone Number	:	614-431-1418
Fax Number	:	614-678-5556

Provider Business Practice Location Address
First Line	:	5202 BETHEL REED PARK STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1818
Country	:	US
Telephone Number	:	614-431-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	02/06/2024

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Directions to “ MEGAN THALER ” Practice Location

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