Most Relevant Information
Provider Data
| NPI Number: | 1003460304 |
| Provider Name: | ZACHARY ETHAN ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2019 |
| Last Updated: | 07/13/2021 |
Provider Practice Location
6400 E BROAD ST FL 4
COLUMBUS
OH
432132086
Practice Location Phone/Fax
| Phone: | 9372280579 |
| Fax: |
Provider Mailing Location
6400 E BROAD ST FL 4
COLUMBUS
OH
432132086
Provider Mailing Phone/Fax
| Phone: | 9372280579 |
| Fax: |