1801317102 NPI number — LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

Table of content: ANNE MARIE BECKER MEDICAL TATTOO ARTIS (NPI 1013635275)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801317102 NPI number — LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801317102
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1105 SCHROCK RD STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43229-1165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-224-0747
Provider Business Mailing Address Fax Number:
855-208-4527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
245 N GRANT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43215-2641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-224-6617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HUDDLESTON
Authorized Official First Name:
ALYSSA
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH CENTER EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
614-224-6617

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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