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Organization

EASTLAND CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH ROTHGEB (BILLING SPECIALIST)
(614) 801-1307
Entity
Organization

Contact information

Practice address
4261 KIMBERLY PKWY, COLUMBUS, OH 43232-7226
(614) 755-7700
(614) 755-9634
Mailing address
3696 GARDEN CT, GROVE CITY, OH 43123-2906
(614) 801-1307
(614) 277-1363

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3510
OH
225100000X
Physical Therapist
PT010968
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2521597
OH
05
2771031
OH
Enumeration date
04/10/2007
Last updated
03/13/2013
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