Healthcare Provider Details
I. General information
NPI: 1952720427
Provider Name (Legal Business Name): HYPERBARIC THERAPY OF DUBLIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6750 AVERY MUIRFIELD DR SUITE 1 A
DUBLIN OH
43017-1202
US
IV. Provider business mailing address
4977 DUNKERRIN CT
DUBLIN OH
43017-8900
US
V. Phone/Fax
- Phone: 714-407-4268
- Fax:
- Phone: 614-407-4268
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRIS
A
DODSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 614-407-4268