Provider Demographics
NPI:1346738473
Name:SUPERIOR HEALTH GROUP INC
Entity Type:Organization
Organization Name:SUPERIOR HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BITLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-695-5060
Mailing Address - Street 1:4568 NEISWANDER SQ
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9641
Mailing Address - Country:US
Mailing Address - Phone:614-695-5060
Mailing Address - Fax:
Practice Address - Street 1:500 E MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5619
Practice Address - Country:US
Practice Address - Phone:614-695-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4478111N00000X
OH34004423207Q00000X
OH02190363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty