| Spine and Joint Care Inc | |
|
1900 Indian Wood Cir Suite 100 Maumee OH 43537-4033 | |
| (419) 897-6490 | |
| (419) 897-0544 |
| Full Name | Spine and Joint Care Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1900 Indian Wood Cir, Maumee, Ohio |
| Authorized Official Name and Position | Jay W Nielsen (OWNER) |
| Authorized Official Contact | 4198976490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine and Joint Care Inc 1900 Indian Wood Cir Suite 100 Maumee OH 43537-4033 Ph: (419) 897-6490 | Spine and Joint Care Inc 1900 Indian Wood Cir Suite 100 Maumee OH 43537-4033 Ph: (419) 897-6490 |
| NPI Number | 1972784825 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972784825 | NPI | - | NPPES |
| 0419158 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 35-04-0332-N (Ohio) | Primary |
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