Provider Demographics
NPI:1336657063
Name:HYPERBARIC THERAPY OF BROOK PARK
Entity Type:Organization
Organization Name:HYPERBARIC THERAPY OF BROOK PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-407-4268
Mailing Address - Street 1:4977 DUNKERRIN CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8900
Mailing Address - Country:US
Mailing Address - Phone:614-407-4268
Mailing Address - Fax:614-793-8431
Practice Address - Street 1:15900 SNOW RD STE 600
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2861
Practice Address - Country:US
Practice Address - Phone:614-407-4268
Practice Address - Fax:614-793-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center