Brooklyn Cole Affolter

Individual provider Active NPI Specialist · Westerville, OH

NPI 1073269015 · NPPES record last updated Feb 28, 2022

Key facts

NPI
1073269015
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
5761 Fenimore Trail Dr W Unit 210
Westerville, OH 43081-7781
Phone
(330) 987-1733
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

5761 Fenimore Trail Dr W Unit 210
Westerville, OH 43081-7781

Mailing address

5761 Fenimore Trail Dr W Unit 210
Westerville, OH 43081-7781
Phone (330) 987-1733

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Columbus

Other providers in Westerville, OH

All providers in Westerville, OH · Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.