Provider Demographics
NPI:1598043234
Name:AMBORSKI, TRISHA ANN (DC)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:ANN
Last Name:AMBORSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4577 LEGARE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-8306
Mailing Address - Country:US
Mailing Address - Phone:419-346-8101
Mailing Address - Fax:
Practice Address - Street 1:5959 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-8517
Practice Address - Country:US
Practice Address - Phone:614-337-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor