Phillip B. Doudna, D.c., Llc | |
4305 Broadway Grove City OH 43123-3017 | |
(614) 875-1121 | |
(614) 875-1111 |
Full Name | Phillip B. Doudna, D.c., Llc |
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Speciality | Clinic/Center |
Location | 4305 Broadway, Grove City, Ohio |
Authorized Official Name and Position | Phillip B. Doudna (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 6148751121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phillip B. Doudna, D.c., Llc 4305 Broadway Grove City OH 43123-3017 Ph: (614) 875-1121 | Phillip B. Doudna, D.c., Llc 4305 Broadway Grove City OH 43123-3017 Ph: (614) 875-1121 |
NPI Number | 1033395439 |
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Provider Enumeration Date | 01/15/2008 |
Last Update Date | 09/09/2008 |
Medicare PECOS PAC ID | 9537235296 |
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Medicare Enrollment ID | O20080903000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033395439 | NPI | - | NPPES |
0877538 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1397 (Ohio) | Primary |
Provider Name | Phillip B Doudna |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346265493 PECOS PAC ID: 3274609037 Enrollment ID: I20080903000263 |
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