Organization
OHIO NEURO & PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JACOBSON DC (SOLE MBR)
(610) 734-0610
Entity
Organization
Contact information
Practice address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(610) 734-0610
(610) 734-0874
Mailing address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(610) 734-0610
(610) 734-0874
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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