Organization
FAMILY HEALTH PHYSICAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK G. KOINOGLOU D.C. (OWNER/PRESIDENT/DOCTOR)
(330) 821-4455
Entity
Organization
Contact information
Practice address
641 E STATE ST, ALLIANCE, OH 44601-4913
(330) 821-4455
(330) 821-4504
Mailing address
641 E STATE ST, ALLIANCE, OH 44601-4913
(330) 821-4455
(330) 821-4504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
35.082293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084079
—
OH
Enumeration date
04/14/2017
Last updated
04/14/2017
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