Physicians Diagnostic & Rehabilitation Center Inc

LBN: Physicians Diagnostic & Rehabilitation Center Inc
Physicians Diagnostic & Rehabilitation Center Inc is an health care organization with primary practice located at 914 Trailwood Dr , Boardman OH 44512-5007. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Sports Medicine. Chiropractic Providers / Chiropractor is the primary health care specialty. Physicians Diagnostic & Rehabilitation Center Inc can be contacted via phone (330) 758-6440, or through Ignazio, Maria via phone (330) 758-6440.

Contact Information

Primary practice address
914 Trailwood Dr Boardman OH 44512-5007
Fax: (330) 758-6990
Website:
Authorized official contact:
Name: Ignazio, Maria

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2533 Ohio
Chiropractic Providers / Chiropractor 111N00000X 2426 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 34.002093 Ohio

Profile Details

NPI number 1417058009
LBN Legal business name Physicians Diagnostic & Rehabilitation Center Inc
DBA Doing business as
Authorized official Ignazio, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 26th, 2012 - about 12 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 1417058009 NPPES
Ohio MEDICAID 2318030

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