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WILMINGTON PIKE CHIROPRACTIC LLC NPI 1013198308


NPI Information

NPI: 1013198308
Provider Name: WILMINGTON PIKE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4770 WILMINGTON PIKE
KETTERING, OH
ZIP 45440
Phone: (937) 433-5154
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WILMINGTON PIKE CHIROPRACTIC LLC is a chiropractor in Kettering, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WILMINGTON PIKE CHIROPRACTIC LLC NPI is 1013198308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4770 WILMINGTON PIKE
KETTERING, OH
ZIP 45440-021
Phone: (937) 433-5154
Fax: (937) 433-2884

The provider's authorized official is Karen Sue Weber .
The authorized official title is Manager and has the following contact phone number (937) 433-5154.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 5/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2108OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000020117OTHEROHIOBC/BS
2U51689MEDICARE UPINOHIO
39356811MEDICARE PINOHIO
44490200OTHEROHIOUHC
50460040MEDICAIDOHIO
6000000364432OTHEROHIOANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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