| Organization Name: | AMERICAN HEALTH NETWORK OF OHIO PROFESSIONAL CORPORATION |
| NPI Number: | 1053766576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD A COURTER (VP OPERATIONS OHIO) |
| Mailing Address: | 4070 Gantz Rd American Health Network Of Ohio Pc Grove City |
| State: | OH US |
| Postal Code: | 431234816 |
| Phone Number: | 6147945069 |
| Fax Number: | 7408815277 |
| NPI Enumeration Date: | 05/03/2016 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |