Provider Demographics
NPI:1356169882
Name:ACCIDENT CARE & WELLNESS CENTER II LLC
Entity type:Organization
Organization Name:ACCIDENT CARE & WELLNESS CENTER II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KABIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-235-3778
Mailing Address - Street 1:P.O. BOX 20770
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4600 SMITH ROAD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:OH
Practice Address - Zip Code:45212
Practice Address - Country:US
Practice Address - Phone:513-245-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty