Provider Demographics
NPI:1386889608
Name:RLC AMC LLC
Entity type:Organization
Organization Name:RLC AMC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAYKIN-YAGID
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-338-1003
Mailing Address - Street 1:3080 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2619
Mailing Address - Country:US
Mailing Address - Phone:614-338-1003
Mailing Address - Fax:614-338-1321
Practice Address - Street 1:3080 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2619
Practice Address - Country:US
Practice Address - Phone:614-338-1003
Practice Address - Fax:614-338-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty