NPI 1033245824

Primesource Healthcare of Ohio, INC.

Organisation Podiatrist Columbus, OH

Practice location

Address: 4449 Easton Way Floor 2, Columbus, OH 43219-6093
Phone: (800) 317-0711
Fax: (847) 267-9440
Mailing address: 2100 East Lake Cook Road Suite 1100, Buffalo Grove, IL 60089-1815

Authorised official

Name: David Fleming
Title: President & Ceo
Phone: (847) 267-8200

Registered specialties (4)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Ohio →

Dentist

Dental Providers Taxonomy 122300000X

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Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Ohio →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

Other Audiologist providers in Ohio →

Registry record

NPI: 1033245824
Entity type: Organization
NPI issued: 26 Feb 2007
Record last updated: 11 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.