| |
7179 E Broad St, Blacklick, OH 43004-8411 | |
(614) 861-6558 | |
(614) 860-0989 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 7179 E Broad St, Blacklick, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548498025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3098 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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7179 E Broad St, Blacklick, OH 43004-8411 Ph: (614) 861-6558 | 7179 E Broad St, Blacklick, OH 43004-8411 Ph: (614) 861-6558 |