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Contact Information

LEGACY MEDICAL NETWORK LLC
5797 BEECHCROFT RD STE F
COLUMBUS, OH43229-2758
 Phone: 614-377-0268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Health Service

261QH0100X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
 

Registered Nurse

163W00000X
 

Student Health

261QS1000X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for LEGACY MEDICAL NETWORK LLC · (Female)

NPI # 1073075438
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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