Provider Demographics
NPI:1922290188
Name:TRANEN, BETH TOBE (DO)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:TOBE
Last Name:TRANEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 BRIGGS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-3218
Mailing Address - Country:US
Mailing Address - Phone:614-274-8885
Mailing Address - Fax:614-274-8895
Practice Address - Street 1:2350 BRIGGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-3218
Practice Address - Country:US
Practice Address - Phone:614-274-8885
Practice Address - Fax:614-274-8895
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.004135207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0632873Medicaid
OH0590703Medicare PIN
OH0632873Medicaid