Healthcare Provider Details

I. General information

NPI: 1386236214
Provider Name (Legal Business Name): ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 BOBCAT WAY STE 300
DUBLIN OH
43016-1443
US

IV. Provider business mailing address

70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE PETTY
Title or Position: CHIEF ADMINISTRATION OFFICER
Credential:
Phone: 614-839-2114