1689859860 NPI number — FIDELITY MEDICAL PRODUCTS LLC

Table of content: (NPI 1689859860)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689859860 NPI number — FIDELITY MEDICAL PRODUCTS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIDELITY MEDICAL PRODUCTS LLC
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:
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:
1689859860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3366 RIVERSIDE DR
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43221-1734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-459-3749
Provider Business Mailing Address Fax Number:
614-459-8749

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3366 RIVERSIDE DR
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43221-1734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-459-3749
Provider Business Practice Location Address Fax Number:
614-459-8749
Provider Enumeration Date:
01/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PAPLACZYK
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
S
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
614-459-3749

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com