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5TH AVENUE INJURY CENTER NPI 1205203148


NPI Information

NPI: 1205203148
Provider Name: 5TH AVENUE INJURY CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1188 W 5TH AVE
COLUMBUS, OH
ZIP 43212
Phone: (614) 486-3562
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5TH AVENUE INJURY CENTER is a chiropractor in Columbus, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. 5TH AVENUE INJURY CENTER NPI is 1205203148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1188 W 5TH AVE
COLUMBUS, OH
ZIP 43212-501
Phone: (614) 486-3562
Fax: (614) 486-3564

The provider's authorized official is Arthur Fetty .
The authorized official title is Manager and has the following contact phone number (740) 632-4069.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4508OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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