Provider Demographics
NPI:1922882455
Name:ORZAL, JOEL-ROBERT
Entity Type:Individual
Prefix:MR
First Name:JOEL-ROBERT
Middle Name:
Last Name:ORZAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3668
Mailing Address - Country:US
Mailing Address - Phone:760-703-7720
Mailing Address - Fax:
Practice Address - Street 1:930 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:43212-3668
Practice Address - Country:US
Practice Address - Phone:760-703-7720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach