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Organization
MEDICAL CONSULTANCY OF OHIO
Active
Organization
MEDICAL CONSULTANCY OF OHIO
Active
Other names
Medical Consultancy of Ohio PA Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN CAPULONG MD (CEO)
(330) 888-2962
Entity
Organization
Contact information
Practice address
1217 GRANDVIEW AVE, COLUMBUS, OH 43212-3455
(330) 888-2962
(330) 280-5116
Mailing address
PO BOX 1678, POWELL, OH 43065-1678
(330) 888-2962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
251E00000X
Home Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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