Provider Demographics
NPI:1306140785
Name:T B F INC
Entity type:Organization
Organization Name:T B F INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BECKER-FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, CS
Authorized Official - Phone:740-881-6049
Mailing Address - Street 1:7652 SAWMILL RD
Mailing Address - Street 2:PMB 160
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9296
Mailing Address - Country:US
Mailing Address - Phone:740-881-6049
Mailing Address - Fax:
Practice Address - Street 1:6480 CROOKED ELM CT
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8462
Practice Address - Country:US
Practice Address - Phone:740-881-6049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA03738-NS364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty