Provider Demographics
NPI:1346547122
Name:NEUROQUEST DIABETIC PAIN RELIEF
Entity Type:Organization
Organization Name:NEUROQUEST DIABETIC PAIN RELIEF
Other - Org Name:NEUROQUEST DIABETIC PAIN RELIEF - EAST BRANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:MELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-883-6347
Mailing Address - Street 1:513 E RICH ST STE 201-203
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5376
Mailing Address - Country:US
Mailing Address - Phone:614-883-6347
Mailing Address - Fax:614-883-6399
Practice Address - Street 1:513 E RICH ST STE 201-203
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5376
Practice Address - Country:US
Practice Address - Phone:614-883-6347
Practice Address - Fax:614-883-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty