Organization
PROMEDICAL REHAB GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE B WELSH M.D. (PRESIDENT)
(740) 354-3344
Entity
Organization
Contact information
Practice address
1611 27TH ST, BLDG. J. SUITE202, PORTSMOUTH, OH 45662-6931
(740) 354-3344
(740) 353-0585
Mailing address
1611 27TH ST, BLDG. J. SUITE202, PORTSMOUTH, OH 45662-6931
(740) 354-3344
(740) 353-0585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35060023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039284
ANTHEM
—
05
—
0246755
—
OH
01
—
2492985
AETNA
—
05
—
64869563
—
KY
Enumeration date
10/24/2006
Last updated
12/03/2009
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