Organization
PROFESSIONAL INTEGRATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FOSSELMAN DO (PHYSICIAN/OWNER)
(614) 499-6863
Entity
Organization
Contact information
Practice address
4018 N HAMPTON DR, POWELL, OH 43065-8431
(614) 618-0017
(614) 635-9229
Mailing address
4018 N HAMPTON DR, POWELL, OH 43065-8431
(614) 618-0017
(614) 635-9229
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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