Organization
PAGANI NEUROLOGICAL INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A BEVIS (CREDENTIALING ADMINISTRATOR)
(513) 961-4700
Entity
Organization
Contact information
Practice address
111 WELLINGTON PL, 1ST FLOOR, CINCINNATI, OH 45219-1758
(513) 621-0007
(513) 621-0027
Mailing address
111 WELLINGTON PL, 1ST FLOOR, CINCINNATI, OH 45219-1758
(513) 621-0007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35-100017
OH
2084N0400X
Neurology Physician
Primary
35-100017
OH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
35-100017
OH
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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