LEGACY MEDICAL NETWORK LLC; NPI #1073075438

Contact Information

LEGACY MEDICAL NETWORK LLC

5797 BEECHCROFT RD STE F
COLUMBUS, OH 43229-2758

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

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NPI Profile & details for LEGACY MEDICAL NETWORK LLC

NPI Number	`1073075438`
LBN Legal business name	LEGACY MEDICAL NETWORK LLC
Authorized official	JOSEPH KONIKA - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/04/2019
Last updated	06/11/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LEGACY MEDICAL NETWORK LLC

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NPI Profile & details for LEGACY MEDICAL NETWORK LLC

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