Pain Management Of The Ohio Valley | |
6406 Thornberry Ct Suite 220b Mason OH 45040-7880 | |
(937) 672-4730 | |
(513) 433-5475 |
Full Name | Pain Management Of The Ohio Valley |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 6406 Thornberry Ct, Mason, Ohio |
Authorized Official Name and Position | Lindy Wyatt (OWNER) |
Authorized Official Contact | 9376724730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pain Management Of The Ohio Valley Po Box 42370 Cincinnati OH 45242-0370 Ph: (937) 672-4730 | Pain Management Of The Ohio Valley 6406 Thornberry Ct Suite 220b Mason OH 45040-7880 Ph: (937) 672-4730 |
NPI Number | 1346488954 |
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Provider Enumeration Date | 02/04/2009 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346488954 | NPI | - | NPPES |
35-072489 | Other | OH | OH LICENSE |
10831537 | Other | CAQH | |
2018579 | Medicaid | OH | |
439-96-3405-00 | Other | OH | BWC |
G58818 | Other | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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