Provider Demographics
NPI:1063681724
Name:THE BREATHING ASSOCIATION
Entity Type:Organization
Organization Name:THE BREATHING ASSOCIATION
Other - Org Name:THE BREATHING ASSOCIATION LUNG HEALTH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLLART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-457-4570
Mailing Address - Street 1:1520 OLD HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220
Mailing Address - Country:US
Mailing Address - Phone:614-457-4570
Mailing Address - Fax:614-457-3777
Practice Address - Street 1:1520 OLD HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-457-4570
Practice Address - Fax:614-457-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center