Neuroradiance Integrative Health Initiative, Ltd | |
110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 | |
(614) 776-0624 | |
(614) 591-9486 |
Full Name | Neuroradiance Integrative Health Initiative, Ltd |
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Speciality | Clinic/center - Multi-specialty |
Location | 110 Polaris Pkwy Ste 120, Westerville, Ohio |
Authorized Official Name and Position | Richard Cooper (OWNER) |
Authorized Official Contact | 6147760624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neuroradiance Integrative Health Initiative, Ltd 110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 Ph: (614) 776-0624 | Neuroradiance Integrative Health Initiative, Ltd 110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 Ph: (614) 776-0624 |
NPI Number | 1750926317 |
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Provider Enumeration Date | 11/07/2019 |
Last Update Date | 11/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750926317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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