Healthcare Provider Details

I. General information

NPI: 1275860744
Provider Name (Legal Business Name): MEDICAL & ALTERNATIVE PAIN CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 HARRISON AVE
CINCINNATI OH
45211
US

IV. Provider business mailing address

4021 HARRISON AVE
CINCINNATI OH
45211
US

V. Phone/Fax

Practice location:
  • Phone: 513-661-6666
  • Fax: 513-661-6665
Mailing address:
  • Phone: 513-661-6666
  • Fax: 513-661-6665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW J LIMLE
Title or Position: PRESIDENT
Credential: D.C.
Phone: 513-661-6666