Provider Demographics
NPI:1518190438
Name:DISCOVERY SPINE & WELLNESS INC
Entity Type:Organization
Organization Name:DISCOVERY SPINE & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:NARDONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-695-7250
Mailing Address - Street 1:51342 NATIONAL RD STE K
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1700
Mailing Address - Country:US
Mailing Address - Phone:740-695-7250
Mailing Address - Fax:740-695-7258
Practice Address - Street 1:51342 NATIONAL RD STE K
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1700
Practice Address - Country:US
Practice Address - Phone:740-695-7250
Practice Address - Fax:740-695-7258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3031111N00000X
OHOH3182111N00000X
OHOH4024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty