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Contact Information

CANYON MEDICAL CENTER INC
5969 EAST BROAD STREET
2ND FLOOR
COLUMBUS, OH43213
 Phone: 614-864-6010
 Fax: 614-864-0306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CANYON MEDICAL CENTER INC · (Female)

NPI Number 1073558326
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0454119
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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