Provider Demographics
NPI:1215360094
Name:DOCTORS OFFICE 2 U
Entity Type:Organization
Organization Name:DOCTORS OFFICE 2 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ROELFS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-216-8464
Mailing Address - Street 1:3221 E HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40068-9302
Mailing Address - Country:US
Mailing Address - Phone:502-216-8464
Mailing Address - Fax:502-222-5698
Practice Address - Street 1:3221 E HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:KY
Practice Address - Zip Code:40068-9302
Practice Address - Country:US
Practice Address - Phone:502-216-8464
Practice Address - Fax:502-222-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care