# WEST BROAD INJURY & REHAB CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-County Injury & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073711297
- **Authorized official:** DR. BRIAN P SCHEETZ D.C. (OWNER)
- **Authorized official phone:** (614) 367-1203

## Contact information

- **Practice address:** 7634 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8159
- **Practice address phone:** (614) 367-1203
- **Practice address fax:** (614) 367-1204
- **Mailing address:** 7634 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8159
- **Mailing address phone:** (614) 367-1203
- **Mailing address fax:** (614) 367-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3331 | OH | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 12/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000355650 | ANTHEM | OH |
| 01 | — | 0000227811403 | UNITED HEALTHCARE | OH |
| 01 | — | 11323783 | CAQH | OH |
| 01 | — | 13670065500 | OHIO BUREAU OF WORKERS CO | OH |
| 05 | — | 2353288 | — | OH |
| 01 | — | 61129230 | OWCP | — |
| 01 | — | 645548 | OPTUM HEALTH | — |
| 01 | — | 7109596 | AETNA | OH |