NPI 1336556000

Sun Rise Agency LLC

Organisation Preferred Provider Organization Columbus, OH

Practice location

Address: 3301 E Main St STE 2, Columbus, OH 43213-2740
Phone: (614) 772-3106

Authorised official

Name: Alpha Tongor
Title: Shareholder
Phone: (614) 772-3106

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1336556000
Entity type: Organization
NPI issued: 15 Jul 2014
Record last updated: 15 Jul 2014

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.