Christopher Charles Bielefeld, RN

Individual provider Active NPI Registered Nurse · Blacklick, OH

NPI 1295479459 · NPPES record last updated Apr 25, 2022

Key facts

NPI
1295479459
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.354589 (OH)
Practice address
572 Altona Dr
Blacklick, OH 43004-7192
Phone
(419) 953-0935
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.354589OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.354589 OH Yes

Addresses

Primary practice location

572 Altona Dr
Blacklick, OH 43004-7192

Mailing address

420 N James Rd
Columbus, OH 43219-1834
Phone (419) 953-0935

Other providers in Blacklick, OH

All providers in Blacklick, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.