Provider Demographics
NPI:1609900851
Name:D & I ASSOCIATES INC
Entity Type:Organization
Organization Name:D & I ASSOCIATES INC
Other - Org Name:GET WELL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:INSOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-524-2676
Mailing Address - Street 1:635 SOUTH TRIMBLE ROAD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3419
Mailing Address - Country:US
Mailing Address - Phone:419-524-2676
Mailing Address - Fax:419-524-2692
Practice Address - Street 1:635 S TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3419
Practice Address - Country:US
Practice Address - Phone:419-524-2676
Practice Address - Fax:419-524-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005399261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0306734Medicaid
OH0306734Medicaid