Genesis Professional Corp
Legal Business Name
Genesis Professional Corp
NPI Number
1497755623
NPI Type
Organization
Enumeration Date
07/29/2005
Specialties
(Taxonomies)Name
Code
207KA0200X
207RC0000X
207Q00000X
207RI0200X
207RI0011X
207LP2900X
208VP0000X
208600000X
208G00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 790
800 FOREST AVE
City
Zanesville
Zanesville
State
OH
OH
Postal Code
43702-0790
43701-2882
Country
US
US
Telephone Number
(740) 454-0366
(740) 454-0366
Authorized Official
Name
Al Burns
Title or Position
PRESIDENT
Telephone Number
(740) 454-0366
Identifiers
Identifier
2467343
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/15/2007