Dr. Dirk Llc

LBN: Dr. Dirk Llc
Dr. Dirk Llc is an health care organization with primary practice located at 300 W Spring St Unit 702 , Columbus OH 43215-7651. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Dr. Dirk Llc can be contacted via phone (937) 232-8033, or through Juschka, Dirk Norman via phone (937) 402-1000.

Contact Information

Primary practice address
300 W Spring St Unit 702 Columbus OH 43215-7651
Phone: (937) 232-8033
Fax: (937) 426-6576
Website:
Map and Directions
Authorized official contact:
Name: Juschka, Dirk Norman Doctor of Medicine (MD)
Phone: (937) 402-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 35.052815 Ohio

Profile Details

NPI number 1801189592
LBN Legal business name Dr. Dirk Llc
DBA Doing business as
Authorized official Juschka, Dirk Norman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2011
Last updated Nov 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801189592 NPPES
Ohio MEDICAID 0616033

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