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NABHCO LLC NPI 1952940835


NPI Information

NPI: 1952940835
Provider Name: NABHCO, LLC

Doing Business As: NABHCO

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 36D2177275

Address:
2686 CROSSROADS PLAZA DR.
COLUMBUS, OH
ZIP 43219
Phone: (877) 318-0934
Get Directions

NABHCO, LLC is an addiction medicine family medicine in Columbus, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. NABHCO, LLC NPI is 1952940835. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nabhco.

The provider's business location address is:

2686 CROSSROADS PLAZA DR.
COLUMBUS, OH
ZIP 43219-442
Phone: (877) 318-0934
Fax: (888) 831-0965

The provider's authorized official is Latonya Janett Carroll .
The authorized official title is Owner and has the following contact phone number (877) 318-0934.

The CLIA number assigned to this NPI record is 36D2177275 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/25/2019 and was last updated on 6/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3207QA0401XFamily MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10391040MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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