Grandominico, John M
Grandominico, John M is an individual health care provider with primary practice located at 2000 Kenny Rd , Columbus OH 43221. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grandominico, John M can be contacted via phone (614) 293-9777.Contact Information
Primary practice address
2000 Kenny Rd
Columbus OH 43221
Phone: (614) 293-9777
Fax: (614) 293-9776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2489 | Ohio |
Profile Details
| NPI number | 1689622102 |
|---|---|
| LBN Legal business name | Grandominico, John M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 31st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689622102 | NPPES |
| Ohio | MEDICAID | 2374176 |
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