Provider Demographics
NPI:1003912403
Name:V.GEORGE ZOCHOWSKI, D.O.,INC.
Entity Type:Organization
Organization Name:V.GEORGE ZOCHOWSKI, D.O.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VITOLD
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ZOCHOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-927-7665
Mailing Address - Street 1:8200 HAZELTON ETNA RD SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9630
Mailing Address - Country:US
Mailing Address - Phone:740-927-7665
Mailing Address - Fax:740-964-0342
Practice Address - Street 1:8200 HAZELTON ETNA RD SW
Practice Address - Street 2:SUITE 100
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9630
Practice Address - Country:US
Practice Address - Phone:740-927-7665
Practice Address - Fax:740-964-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002145207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty