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NPI Code Detail

MEDICARE: ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC

MEDICARE: ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1922576719
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC
Provider Business Mailing Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number :
Provider Business Practice Location Address
First Line : 1325 STRINGTOWN RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-8911
Country : US
Telephone Number : 614-890-6555
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR BUSINESS OPS
Name : JACQUELINE PETTY
Credential :
Telephone Number : 614-839-2114
Provider Enumeration Date : 11/09/2018
Last Update Date : 02/25/2019

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Directions to “ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC ” Practice Location

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