Mid-Ohio Valley Physical Medicine

LBN: Mid-Ohio Valley Physical Medicine
Mid-Ohio Valley Physical Medicine is an health care organization with primary practice located at 400 Matthew Street Suite 306, Marietta OH 45750. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Mid-Ohio Valley Physical Medicine can be contacted via phone (740) 376-5044, or through Lacey, David William via phone (740) 376-5044.

Contact Information

Primary practice address
400 Matthew Street Suite 306 Marietta OH 45750
Phone: (740) 376-5044
Fax: (740) 374-1792
Website:
Map and Directions
Authorized official contact:
Name: Lacey, David William Doctor of Medicine (MD)
Phone: (740) 376-5044

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35066931L Ohio
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 35066931L Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 35066931L Ohio
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 35066931L Ohio

Profile Details

NPI number 1700098811
LBN Legal business name Mid-Ohio Valley Physical Medicine
DBA Doing business as
Authorized official Lacey, David William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jul 17th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700098811 NPPES
Ohio MEDICAID L0982950
Ohio MEDICAID 0113577000

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