| Osu Neuroscience Center, Llc | |
|
2050 Kenny Rd Columbus OH 43221-3502 | |
| (614) 293-4969 | |
| (614) 293-6111 |
| Full Name | Osu Neuroscience Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2050 Kenny Rd, Columbus, Ohio |
| Authorized Official Name and Position | Benjamin M. Segal (DEPARTMENT CHAIR) |
| Authorized Official Contact | 6142939577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Neuroscience Center, Llc 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: (614) 293-0831 | Osu Neuroscience Center, Llc 2050 Kenny Rd Columbus OH 43221-3502 Ph: (614) 293-4969 |
| NPI Number | 1932199254 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932199254 | NPI | - | NPPES |
| 0256566 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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