Provider Demographics
NPI:1063718096
Name:VIOLAND, JOHN S, (LPN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:S,
Last Name:VIOLAND
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4821 CYPRESS GROVE CT
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9052
Mailing Address - Country:US
Mailing Address - Phone:614-570-7377
Mailing Address - Fax:
Practice Address - Street 1:4821 CYPRESS GROVE CT
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9052
Practice Address - Country:US
Practice Address - Phone:614-570-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.143667-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse