Provider Demographics
NPI:1326285024
Name:DUBLIN PEDIATRICS, INC.
Entity type:Organization
Organization Name:DUBLIN PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-889-8890
Mailing Address - Street 1:5110 BLAZER PKWY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1339
Mailing Address - Country:US
Mailing Address - Phone:614-889-8890
Mailing Address - Fax:614-799-6878
Practice Address - Street 1:5110 BLAZER PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1339
Practice Address - Country:US
Practice Address - Phone:614-889-8890
Practice Address - Fax:614-799-6878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35050543208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty