Organization
OHIO SPINE AND BODY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY R SHERROD (CFO)
(916) 276-6471
Entity
Organization
Contact information
Practice address
1599 W RIVER RD N, ELYRIA, OH 44035-2779
(440) 324-9000
(440) 324-2849
Mailing address
69 LINCOLN BLVD, SUITE A #262, LINCOLN, CA 95648-6303
(916) 276-6471
(916) 409-5469
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6850710001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11568
OHIO HME BOARD
OH
01
—
CL022326150-02
OH PHARMACY
OH
Enumeration date
02/28/2013
Last updated
11/21/2013
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