Healthcare Provider Details
I. General information
NPI: 1083709190
Provider Name (Legal Business Name): ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5040 FOREST DR 300
NEW ALBANY OH
43054-8167
US
IV. Provider business mailing address
70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US
V. Phone/Fax
- Phone: 614-890-6555
- Fax: 614-823-8881
- Phone: 614-890-6555
- Fax: 614-823-8881
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCIS
J
O'DONNELL
Title or Position: PRESIDENT
Credential: DO
Phone: 614-890-6555