Most Relevant Information
Provider Data
| NPI Number: | 1003304965 |
| Provider Name: | RICK FANNIN CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2018 |
| Last Updated: | 04/26/2018 |
Provider Practice Location
4725 PARKWICK DR
COLUMBUS
OH
432286401
Practice Location Phone/Fax
| Phone: | 6146553354 |
| Fax: | 6143174692 |
Provider Mailing Location
4725 PARKWICK DR
COLUMBUS
OH
432286401
Provider Mailing Phone/Fax
| Phone: | 6146553354 |
| Fax: | 6143174692 |