F O R M E Medical And Rehab Center Of Warren Inc
LBN: F O R M E Medical And Rehab Center Of Warren Inc
F O R M E Medical And Rehab Center Of Warren Inc is an health care organization with primary practice located at 2103 Niles Cortland Rd Se , Warren OH 44484-3067. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine. Chiropractic Providers / Chiropractor is the primary health care specialty.
F O R M E Medical And Rehab Center Of Warren Inc can be contacted via phone (330) 544-3737, or through Stychno, Nestor A via phone (330) 544-3737.
Contact Information
Primary practice address
2103 Niles Cortland Rd Se
Warren OH 44484-3067
Phone: (330) 544-3737
Fax: (330) 544-3904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 139 | Ohio |
| Chiropractic Providers / Chiropractor | 111N00000X | 2393 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35050935 | Ohio |
Profile Details
| NPI number | 1245390343 |
|---|---|
| LBN Legal business name | F O R M E Medical And Rehab Center Of Warren Inc |
| DBA Doing business as | |
| Authorized official | Stychno, Nestor A D.M., D.C. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Sep 29th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245390343 | NPPES |
| Ohio | MEDICAID | 0608444 | |
| Ohio | MEDICAID | 2459129 | |
| Ohio | MEDICAID | 0119473 |
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