| Ronald J Haudenschilt Md Inc | |
|
5770 Karl Rd Columbus OH 43229-3604 | |
| (614) 847-9933 | |
| (614) 847-9919 |
| Full Name | Ronald J Haudenschilt Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5770 Karl Rd, Columbus, Ohio |
| Authorized Official Name and Position | Ronald J Haudenschilt (PRESIDENT) |
| Authorized Official Contact | 6148479933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald J Haudenschilt Md Inc 5770 Karl Rd Columbus OH 43229-3604 Ph: (614) 847-9933 | Ronald J Haudenschilt Md Inc 5770 Karl Rd Columbus OH 43229-3604 Ph: (614) 847-9933 |
| NPI Number | 1598084576 |
|---|---|
| Provider Enumeration Date | 05/29/2010 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 4880727858 |
|---|---|
| Medicare Enrollment ID | O20100728000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598084576 | NPI | - | NPPES |
| 0653896 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35054937 (Ohio) | Primary |
| Provider Name | Ronald J Haudenschilt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730173840 PECOS PAC ID: 4789717752 Enrollment ID: I20100728000950 |
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