Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35125926 | OH |
Y | 207QS0010X | Family Doctor - Sports Medicine | 35125926 | OH |
NPI | 1063772739 |
---|---|
Provider Name | Steven Michael Albrechta |
First Address | Columbus, OH 43202-1559 |
Second Address | New Albany, OH 43054-9265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 25/03/2021 |