Organization
HNI AMBULATORY SERVICES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CARLETTI (VICE PRESIDENT OF OPERATIONS)
(330) 727-3530
Entity
Organization
Contact information
Practice address
12496 PRINCETON RD, HUNTSBURG, OH 44046-9792
(440) 635-5537
Mailing address
7500 RIALTO BLVD # 7500, AUSTIN, TX 78735-8531
(419) 557-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/05/2023
Last updated
09/06/2023
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