Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2008-10-06
- Last updated
- 2019-11-13
Specialties
Licenses
- License OH
- 4116T1056
Location
- Practice location
- 1001 S. DEFIANCE ST.
- City
- ARCHBOLD OH
- Postal code
- 435020038
- Phone
- 419-445-5436
Organization contact
- Name
- CHRISTIAN KING
- Title
- Owner
- Phone
- 4194455436
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
Search this city from the state hub for other records in the public registry.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.