Healthcare Provider Details

I. General information

NPI: 1205422821
Provider Name (Legal Business Name): ARTHRITIS AND JOINT PAIN RELIEF CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 N HAMPTON DR
POWELL OH
43065-8444
US

IV. Provider business mailing address

4002 N HAMPTON DR
POWELL OH
43065-8444
US

V. Phone/Fax

Practice location:
  • Phone: 614-389-0994
  • Fax: 614-845-3216
Mailing address:
  • Phone: 614-389-0994
  • Fax: 614-845-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA M ESTERLE
Title or Position: MEDICAL DIRECTOR / OWNER
Credential: DO
Phone: 330-331-7207