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NPI Code Detail

MEDICARE: OHIO PAIN & INJURY CENTER LLC

MEDICARE: OHIO PAIN & INJURY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1447518170
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO PAIN & INJURY CENTER LLC
Provider Business Mailing Address
First Line : 1592 GOODMAN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-1005
Country : US
Telephone Number : 513-522-7246
Fax Number : 513-522-7245
Provider Business Practice Location Address
First Line : 1592 GOODMAN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-1005
Country : US
Telephone Number : 513-522-7246
Fax Number : 513-522-7245
Authorized Official
Title or Position : CORPORATE TRUSTEE
Name : DR. DENNIS J SUGGS
Credential : DC
Telephone Number : 513-522-7246
Provider Enumeration Date : 05/01/2012
Last Update Date : 05/01/2012

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Directions to “OHIO PAIN & INJURY CENTER LLC ” Practice Location

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