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Contact Information

REGENERATIVE MEDICINE OF OHIO LLC
9257 W SPRAGUE RD
NORTH ROYALTON, OH44133-1208
 Phone: 440-884-0083
 Fax: 440-884-6864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for REGENERATIVE MEDICINE OF OHIO LLC

NPI # 1710464912
LBN Legal business name REGENERATIVE MEDICINE OF OHIO LLC
Authorized official PATRICK MCCLUSKEY - (STATUTORY AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2018
Last updated 07/20/2018 - About 8 years ago
Identifiers
OH License # 35.050134
OH Other 35.050134 MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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