Provider Demographics
NPI:1134321987
Name:APEX PHYSICAL MEDICINE, INC
Entity Type:Organization
Organization Name:APEX PHYSICAL MEDICINE, INC
Other - Org Name:SYNAPTIC CHIROPRACTIC CENTER, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:T
Authorized Official - Last Name:BLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-479-9193
Mailing Address - Street 1:3684 DRESSLER RD NW STE 2B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2781
Mailing Address - Country:US
Mailing Address - Phone:330-479-9193
Mailing Address - Fax:330-479-9165
Practice Address - Street 1:3684 DRESSLER RD NW STE 2B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2781
Practice Address - Country:US
Practice Address - Phone:330-479-9193
Practice Address - Fax:330-479-9165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty