Provider Demographics
NPI:1194068528
Name:ACCIDENT PAIN & INJURY CENTER INC.
Entity type:Organization
Organization Name:ACCIDENT PAIN & INJURY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-549-2146
Mailing Address - Street 1:100 KREPS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:44452-9506
Mailing Address - Country:US
Mailing Address - Phone:330-549-2146
Mailing Address - Fax:330-372-3243
Practice Address - Street 1:2835 ELM RD NE STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-2663
Practice Address - Country:US
Practice Address - Phone:330-372-7246
Practice Address - Fax:330-372-3243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2266111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0178230Medicaid
OH1457446197OtherNPI
OH1457446197OtherNPI
OHU57549Medicare UPIN