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NPI Code Detail

MEDICARE: TORNIK FAMILY MEDICINE

MEDICARE: TORNIK FAMILY MEDICINE
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1558769968
Entity Type Code : Organization
Provider Name (Legal Business Name) : TORNIK FAMILY MEDICINE
Provider Business Mailing Address
First Line : 209 N CHILLICOTHE ST
Second Line :
City : PLAIN CITY
State : OH
Zip : 43064-1045
Country : US
Telephone Number : 614-873-6700
Fax Number : 614-873-6790
Provider Business Practice Location Address
First Line : 209 N CHILLICOTHE ST
Second Line :
City : PLAIN CITY
State : OH
Zip : 43064-1045
Country : US
Telephone Number : 614-873-6700
Fax Number : 614-873-6790
Authorized Official
Title or Position : BILLING ADMINISTRATOR
Name : JENNIFER JONES
Credential : CMRS
Telephone Number : 614-864-9560
Provider Enumeration Date : 12/17/2014
Last Update Date : 12/17/2014

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Directions to “TORNIK FAMILY MEDICINE ” Practice Location

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