MEDICARE: COLUMBUS HEALTH PROFESSIONALS, INC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1841307576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS HEALTH PROFESSIONALS, INC

Provider Business Mailing Address
First Line	:	50 OLD VILLAGE RD
Second Line	:	SUITE 109
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1583
Country	:	US
Telephone Number	:	614-878-9444
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 OLD VILLAGE RD
Second Line	:	SUITE 109
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1583
Country	:	US
Telephone Number	:	614-878-9444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN OLSON
Credential	:	D.O.
Telephone Number	:	614-878-9444

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/22/2020

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Directions to “COLUMBUS HEALTH PROFESSIONALS, INC ” Practice Location

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