Mid-Ohio Valley Physical Medicine in Marietta - Clinical Neurophysiology
Mid-Ohio Valley Physical Medicine - NPI 1700098811
Mid-Ohio Valley Physical Medicine is a Clinical Neurophysiology in Marietta, Ohio. Mid-Ohio Valley Physical Medicine practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Mid-Ohio Valley Physical Medicine is 1700098811. The last update date is 2007-07-17.
Mid-Ohio Valley Physical Medicine's current location address is 400 Matthew Street, Marietta, Ohio. You can contact this provider via phone number 7403765044 and fax number 7403741792. The mailing address for Mid-Ohio Valley Physical Medicine is 400 Matthew Street, Marietta, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid-Ohio Valley Physical Medicine |
|---|---|
| Address | 400 Matthew Street, Marietta, Ohio |
| Phone Number | 7403765044 |
| Fax Number | 7403741792 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacey William David |
| Credentials | M.D. |
| Telephone Number | 7403765044 |
NPI Number Detail
| NPI Number | 1700098811 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 400 Matthew Street |
|---|---|
| City | Marietta |
| State | Ohio (OH) |
| Post Code | 45750 |
| Phone Number | 7403765044 |
| Fax Number | 7403741792 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 35066931L |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| L0982950 | OH | -- | |
| 113577000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mid-Ohio Valley Physical Medicine by the Centers for Medicare & Medicaid Services?
The Mid-Ohio Valley Physical Medicine has been assigned the NPI (National Provider Identifier) 1700098811. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mid-Ohio Valley Physical Medicine?
The Mid-Ohio Valley Physical Medicine is physically situated at 400 Matthew Street, in the city of Marietta, state of OH, with the postal code 45750.
What is the area of specialization for Mid-Ohio Valley Physical Medicine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mid-Ohio Valley Physical Medicine is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0600X.
On what date was the 1700098811 assigned to Mid-Ohio Valley Physical Medicine?
The Mid-Ohio Valley Physical Medicine was issued its 1700098811 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mid-Ohio Valley Physical Medicine most recently updated or revised?
The details related to Mid-Ohio Valley Physical Medicine, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-17.