Evan Joseph Abbott

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI 1861965535 · NPPES record last updated Jan 6, 2019

Key facts

NPI
1861965535
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
555 Borror Dr
Columbus, OH 43210-1187
Phone
(614) 292-5134
NPI assigned
Jan 6, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

555 Borror Dr
Columbus, OH 43210-1187

Mailing address

120 W 11TH Ave # 547
Columbus, OH 43210-1313

Other providers in Columbus, OH

All providers in Columbus, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.