Provider Demographics
NPI:1235238668
Name:REHABILITATION MEDICINE INC
Entity Type:Organization
Organization Name:REHABILITATION MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:VETTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-527-7047
Mailing Address - Street 1:PO BOX 1802
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7802
Mailing Address - Country:US
Mailing Address - Phone:614-527-7047
Mailing Address - Fax:614-416-0345
Practice Address - Street 1:5975 E BROAD ST
Practice Address - Street 2:SUITE 302
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1531
Practice Address - Country:US
Practice Address - Phone:614-234-6543
Practice Address - Fax:614-234-6720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0604528Medicaid
OH9918933Medicare PIN