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Organization
CENTER OF OSTEOPATHIC MANIPULATION AND HEALTHCARE INC
Active
Organization
CENTER OF OSTEOPATHIC MANIPULATION AND HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE JORDAN D.O. (OWNER)
(614) 878-8034
Entity
Organization
Contact information
Practice address
3960 BROWN PARK DR, SUITE A, HILLIARD, OH 43026-1161
(614) 742-7592
(614) 742-7593
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34-00-5892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190323
—
OH
Enumeration date
05/31/2006
Last updated
07/29/2014
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