Organization
GENESIS PROFESSIONAL CORP
Active
Organization
GENESIS PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BURNS (PRESIDENT)
(740) 454-0366
Entity
Organization
Contact information
Practice address
800 FOREST AVE, ZANESVILLE, OH 43701-2882
(740) 454-0366
(740) 454-3790
Mailing address
PO BOX 790, ZANESVILLE, OH 43702-0790
(740) 454-0366
(740) 454-3790
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
OH
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467343
—
OH
Enumeration date
07/29/2005
Last updated
11/15/2007
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