Healthcare Provider Details

I. General information

NPI: 1508035957
Provider Name (Legal Business Name): PRECISION PAIN CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 ELECTION HOUSE RD NW
LANCASTER OH
43130-9059
US

IV. Provider business mailing address

200 NORTHLAND BLVD 1ST FLOOR
CINCINNATI OH
45246-3604
US

V. Phone/Fax

Practice location:
  • Phone: 740-689-3120
  • Fax: 513-672-3323
Mailing address:
  • Phone: 513-672-3300
  • Fax: 513-672-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH

VIII. Authorized Official

Name: RONALD LINEHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 740-689-3120