Healthcare Provider Details

I. General information

NPI: 1356169882
Provider Name (Legal Business Name): ACCIDENT CARE & WELLNESS CENTER II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SMITH ROAD
NORWOOD OH
45212
US

IV. Provider business mailing address

P.O. BOX 20770
COLUMBUS OH
43220
US

V. Phone/Fax

Practice location:
  • Phone: 513-245-1724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. KABIN J. CARDER
Title or Position: MANAGER PARTNER
Credential: D.C
Phone: 614-235-3778