| NPI | 1306183538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA SIPES Practice Administrator 614-762-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 3578117) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34006525) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 3578117) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 3578117) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 3578117) | |
| 207X00000X Orthopaedic Surgery (Licence: OH 35-049187) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: OH 51012577) | |
| 111NN1001X Chiropractor, Nutrition (Licence: OH DC.2170) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-10-14 |