Organization
NEXT LEVEL SPORT AND SPINE LLC
Active
Other names
Next Level Sport & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY R PORTMANN DC (OWNER)
(330) 440-6700
Entity
Organization
Contact information
Practice address
204 W. HIGH AVE, NEW PHILADELPHIA, OH 44663
(330) 440-6700
(330) 440-6701
Mailing address
204 W HIGH AVE, NEW PHILADELPHIA, OH 44663-3812
(330) 440-6700
(330) 440-6701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3732
OH
Other
Enumeration date
10/25/2017
Last updated
12/26/2017
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