Provider Demographics
NPI:1326144783
Name:THE DOCTORS OFFICE CORPORATION
Entity Type:Organization
Organization Name:THE DOCTORS OFFICE CORPORATION
Other - Org Name:COLUMBUS STREET FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-753-1931
Mailing Address - Street 1:55 W COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-1111
Mailing Address - Country:US
Mailing Address - Phone:740-753-1991
Mailing Address - Fax:740-753-4222
Practice Address - Street 1:55 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1111
Practice Address - Country:US
Practice Address - Phone:740-753-1991
Practice Address - Fax:740-753-4222
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty