MEDICARE: MARK AARON STEELE NURSES ASST

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	390200000X	Student in an Organized Health Care Education/Training Program		OH

General Provider Information

NPI Number	:	1225158439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK AARON STEELE NURSES ASST

Provider Business Mailing Address
First Line	:	3324 THORNWAY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-9200
Country	:	US
Telephone Number	:	614-937-0529
Fax Number	:

Provider Business Practice Location Address
First Line	:	3324 THORNWAY DR.
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-9200
Country	:	US
Telephone Number	:	614-937-0529
Fax Number	:

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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