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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