Western Reserve Spine & Pain Institute

LBN: Western Reserve Profess
Western Reserve Spine & Pain Institute is an health care organization with primary practice located at 307 W Main St , Kent OH 44240-2400. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Western Reserve Profess can be contacted via phone (330) 677-3628, or through Semancik, Kelly Ann via phone (330) 677-3628.

Contact Information

Primary practice address
307 W Main St Kent OH 44240-2400
Phone: (330) 677-3628
Fax: (330) 677-3626
Website:
Map and Directions
Authorized official contact:
Name: Semancik, Kelly Ann
Phone: (330) 677-3628

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1356308407
LBN Legal business name Western Reserve Profess
DBA Doing business as Western Reserve Spine & Pain Institute
Authorized official Semancik, Kelly Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Oct 24th, 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 1356308407 NPPES
Ohio MEDICAID 2311331
Ohio MEDICAID 2374434
Ohio MEDICAID 0251070
Ohio MEDICAID 2082866

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