Most Relevant Information
Provider Data
| NPI Number: | 1003470329 |
| Provider Name: | USIR EL |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2019 |
| Last Updated: | 04/23/2019 |
Provider Practice Location
199 S CENTRAL AVE
COLUMBUS
OH
432231301
Practice Location Phone/Fax
| Phone: | 6142749500 |
| Fax: |
Provider Mailing Location
1986 FOUNTAINVIEW CT APT B
COLUMBUS
OH
432323143
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |