| Organization Name: | NELSONVILLE FAMILY PRACTICE CENTER, INC |
| NPI Number: | 1134270523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH ALLEN HOLTEL (PRESIDENT) |
| Mailing Address: | 222 Myers St Nelsonville |
| State: | OH US |
| Postal Code: | 457641238 |
| Phone Number: | 7407534436 |
| Fax Number: | 7407534749 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 363830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |