SOZO PEDIATRICS NPI 1831757822

NPI Information

NPI: 1831757822
Provider Name: SOZO PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2163736

Address:
625 GARFIELD AVE
LANCASTER, OH
ZIP 43130
Phone: (614) 214-2534
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SOZO PEDIATRICS is a primary care clinic center in Lancaster, OH. SOZO PEDIATRICS NPI is 1831757822. The provider is registered as an organization entity type.

The provider's business location address is:

625 GARFIELD AVE
LANCASTER, OH
ZIP 43130-432
Phone: (614) 214-2534

The provider's authorized official is Amy Provenzano .
The authorized official title is Ceo/provider and has the following contact phone number (614) 214-2534.

The CLIA number assigned to this NPI record is 36D2163736 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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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