| Southwest Injury And Rehab Center, Inc. | |
|
7391 Brandt Pike Ste C Dayton OH 45424-3274 | |
| (937) 236-1705 | |
| (937) 236-1735 |
| Full Name | Southwest Injury And Rehab Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7391 Brandt Pike Ste C, Dayton, Ohio |
| Authorized Official Name and Position | Tamera Fugate (OFFICE MANAGER) |
| Authorized Official Contact | 9372361705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Injury And Rehab Center, Inc. 7391 Brandt Pike Ste C Dayton OH 45424-3274 Ph: (937) 236-1705 | Southwest Injury And Rehab Center, Inc. 7391 Brandt Pike Ste C Dayton OH 45424-3274 Ph: (937) 236-1705 |
| NPI Number | 1295341204 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Medicare PECOS PAC ID | 4082028303 |
|---|---|
| Medicare Enrollment ID | O20210128000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295341204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David Miles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801967187 PECOS PAC ID: 7012819055 Enrollment ID: I20210128002496 |
| Provider Name | Timothy P Brinkman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932734688 PECOS PAC ID: 7214320431 Enrollment ID: I20220211000997 |
| Provider Name | Jenna Mooney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790401693 PECOS PAC ID: 4284001975 Enrollment ID: I20221109002746 |
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