| Mid Ohio Neuro Ophthalmology And Neuro Otology Inc | |
|
751 Forest Ave Zanesville OH 43701-2868 | |
| (740) 452-4053 | |
| (740) 452-4580 |
| Full Name | Mid Ohio Neuro Ophthalmology And Neuro Otology Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 751 Forest Ave, Zanesville, Ohio |
| Authorized Official Name and Position | Robert Walter Jensen (OWNER PROVIDER) |
| Authorized Official Contact | 7404524053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Ohio Neuro Ophthalmology And Neuro Otology Inc 751 Forest Ave Zanesville OH 43701-2868 Ph: (740) 452-4053 | Mid Ohio Neuro Ophthalmology And Neuro Otology Inc 751 Forest Ave Zanesville OH 43701-2868 Ph: (740) 452-4053 |
| NPI Number | 1710102751 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710102751 | NPI | - | NPPES |
| 2144807 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35082933 (Ohio) | Primary |
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