| Neuroradiance Integrative Health Initiative, Ltd | |
|
110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 | |
| (614) 776-0624 | |
| (614) 591-9486 |
| Full Name | Neuroradiance Integrative Health Initiative, Ltd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 110 Polaris Pkwy Ste 120, Westerville, Ohio |
| Authorized Official Name and Position | Richard Cooper (OWNER) |
| Authorized Official Contact | 6147760624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroradiance Integrative Health Initiative, Ltd 110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 Ph: (614) 776-0624 | Neuroradiance Integrative Health Initiative, Ltd 110 Polaris Pkwy Ste 120 Westerville OH 43082-8028 Ph: (614) 776-0624 |
| NPI Number | 1750926317 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750926317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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