Provider Demographics
NPI:1992923791
Name:JEFFERSON COUNTY AUDITOR
Entity type:Organization
Organization Name:JEFFERSON COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KISSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-283-8530
Mailing Address - Street 1:500 MARKET ST STE 600
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2847
Mailing Address - Country:US
Mailing Address - Phone:740-283-8530
Mailing Address - Fax:740-283-8536
Practice Address - Street 1:500 MARKET ST STE 600
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2847
Practice Address - Country:US
Practice Address - Phone:740-283-8530
Practice Address - Fax:740-283-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0256000251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare