Ricardo Antonio Badillo, DC
Individual provider Active NPI Chiropractor · Lorain, OH
NPI 1124032164 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124032164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3479 (OH)
- Practice address
- 1147 Meister Rd
Suite 15a
Lorain, OH 44052-5111 - Phone
- (440) 282-1147
- Fax
- (440) 282-1192
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3479 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management & Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3479 | OH | Yes |
Addresses
Primary practice location
1147 Meister Rd
Suite 15a
Lorain, OH 44052-5111
Mailing address
1147 Meister Road
Suite 15a
Lorain, OH 44053
Phone (440) 282-1147
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.