| |
3080 E Main St, Columbus, OH 43209-2619 | |
(614) 338-1003 | |
(614) 338-1321 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 3080 E Main St, Columbus, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386889608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
3080 E Main St, Columbus, OH 43209-2619 Ph: (614) 338-1003 | 3080 E Main St, Columbus, OH 43209-2619 Ph: (614) 338-1003 |