Jodi Luaine Cooley, DC | |
136 Mill St, Suite 120, Gahanna, OH 43230-3059 | |
(614) 472-0992 | |
(614) 472-0994 |
Full Name | Jodi Luaine Cooley |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 30 Years |
Location | 136 Mill St, Gahanna, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265492532 | NPI | - | NPPES |
0167322 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2092 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creekside Chiropractic Center Llc | 4981793585 | 3 |
Provider Name | Creekside Chiropractic Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649459165 PECOS PAC ID: 4981793585 Enrollment ID: O20071205000116 |
Mailing Address | Practice Location Address |
---|---|
Jodi Luaine Cooley, DC 136 Mill St, Suite 120, Gahanna, OH 43230-3059 Ph: (614) 472-0992 | Jodi Luaine Cooley, DC 136 Mill St, Suite 120, Gahanna, OH 43230-3059 Ph: (614) 472-0992 |
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