Organization Name: | AMERICAN HEALTH NETWORK OF OHIO, PROFESSIONAL CORPORATION |
NPI Number: | 1871630988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD A COURTER (VP OPERATIONS OHIO) |
Mailing Address: | 29 N Clayton Suite A Centerburg |
State: | OH US |
Postal Code: | 430110749 |
Phone Number: | 7406255326 |
Fax Number: | 7406255965 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |