5th Avenue Injury Center
Chiropractor in Columbus, OH. Organization (NPI-2).
NPI number1205203148
StatusActive
Last updated in NPPESAug 26, 2015
Details
- NPI
- 1205203148
- Entity type
- Organization (NPI-2)
- Legal business name
- 5th Avenue Injury Center
- Organization subpart
- No
- Enumeration date
- Aug 26, 2015
- Last updated
- Aug 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4508 | OH | Yes |
Practice location
1188 W 5th AveColumbus, OH 43212-2501
Phone 614-486-3562 · Fax 614-486-3564
Mailing address
1188 W 5th AveColumbus, OH 43212-2501
Phone 614-486-3562 · Fax 614-486-3564
Authorized official
Arthur Fetty
Manager
7406324069
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