| |
9315 Columbia Rd Sw, Etna, OH 43062-7126 | |
(740) 963-3900 | |
(740) 963-3999 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 9315 Columbia Rd Sw, Etna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447643697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3618 (Ohio) | Primary |
225700000X | Massage Therapist | 33.021808 E-G (Ohio) | Secondary |
Provider Name | Christopher P Mcdonough |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871871830 PECOS PAC ID: 0547426314 Enrollment ID: I20120723000700 |
Mailing Address | Practice Location Address |
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9315 Columbia Rd Sw, Etna, OH 43062-7126 Ph: (740) 963-3900 | 9315 Columbia Rd Sw, Etna, OH 43062-7126 Ph: (740) 963-3900 |
Dr. Gina Infantino, D.C., M.S. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9315 Columbia Rd Sw, Etna, OH 43062 Phone: 740-963-3900 Fax: 740-963-3999 | |
Dr. Christopher P. Mcdonough, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9315 Columbia Rd Sw, Etna, OH 43062 Phone: 740-963-3900 Fax: 740-963-3999 |