MEDICARE: STEPHEN CASWELL LPN

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	164W00000X	Licensed Practical Nurse	122735.MEDS	OH

General Provider Information

NPI Number	:	1790619021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN CASWELL LPN

Provider Business Mailing Address
First Line	:	1120 FOREST GLEN RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-3225
Country	:	US
Telephone Number	:	614-477-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE STE 107
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-371-2303
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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