Provider Demographics
NPI:1700557113
Name:BIEDERMAN, JOSEPH (CNP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BIEDERMAN
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5053
Mailing Address - Country:US
Mailing Address - Phone:614-633-7588
Mailing Address - Fax:
Practice Address - Street 1:11925 LITHOPOLIS RD NW
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9585
Practice Address - Country:US
Practice Address - Phone:614-837-6363
Practice Address - Fax:614-837-0425
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily