AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO NPI 1588038236

NPI Information

  • NPI: 1588038236
  • Provider Name: AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1834 OAKLAND AVE
    PORTSMOUTH, OH
    ZIP 45662
  • Phone: (740) 244-8266

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NPI Details

AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO is a primary care clinic center in Portsmouth, OH. AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO NPI is 1588038236. The provider is registered as an organization entity type.

The provider's business location address is:

1834 OAKLAND AVE
PORTSMOUTH, OH
ZIP 45662-934
Phone: (740) 244-8266

The provider's authorized official is Amy J Flinders .
The authorized official title is Nurse Practitioner and has the following contact phone number (740) 357-4503.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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
1261QP2300XClinic/CenterPrimary CareCOA 14765-NPOHIOYes

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
10089230MEDICAIDOHIO

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: 3/30/2025

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