HOLZAPFEL FAMILY CLINIC/URGENT CARE NPI 1669978029

NPI Information

NPI: 1669978029
Provider Name: HOLZAPFEL FAMILY CLINIC/URGENT CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 36D2297429

Address:
345 E MAIN ST STE G
JACKSON, OH
ZIP 45640
Phone: (740) 577-3043
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HOLZAPFEL FAMILY CLINIC/URGENT CARE is a family nurse practitioner in Jackson, OH. HOLZAPFEL FAMILY CLINIC/URGENT CARE NPI is 1669978029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

345 E MAIN ST STE G
JACKSON, OH
ZIP 45640-788
Phone: (740) 577-3043
Fax: (740) 577-3065

The provider's authorized official is Victoria Renee Holzapfel .
The authorized official title is Owner and has the following contact phone number (740) 577-3043.

The CLIA number assigned to this NPI record is 36D2297429 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 6/16/2018.

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
1	363LF0000X	Nurse Practitioner	Family	06887	OHIO	Yes

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
1	275646299-00	OTHER	OHIO	BWC

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: 4/28/2024

NPI Synchronization or Removal

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