Neurospinecare, INC.
Pain Medicine, Interventional Pain Medicine in Sheffield Village, OH. Organization (NPI-2).
NPI number1790743540
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1790743540
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurospinecare, INC.
- Organization subpart
- No
- Enumeration date
- May 2, 2006
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 207T00000X | Neurological Surgery | – | – |
Practice location
5319 Hoag DrSuite 100
Sheffield Village, OH 44035-1494
Phone 440-930-6015 · Fax 440-930-6094
Mailing address
5319 Hoag DrSuite 100
Sheffield Village, OH 44035-1494
Phone 440-930-6015 · Fax 440-930-6094
Authorized official
Mario M Sertich
President
4409306015
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