1093098832 NPI number — COLUMBUS CHIROPRACTIC AND REHABILITATION CENTER, INC.

Table of content: DR. RENEE MATTHEWS SAVERANCE DC (NPI 1518468255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093098832 NPI number — COLUMBUS CHIROPRACTIC AND REHABILITATION CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBUS CHIROPRACTIC AND REHABILITATION CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093098832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6077 FRANTZ RD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43017-3325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-389-4473
Provider Business Mailing Address Fax Number:
614-389-4719

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6077 FRANTZ RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43017-3325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-389-4473
Provider Business Practice Location Address Fax Number:
614-389-4719
Provider Enumeration Date:
09/27/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ULM
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
614-389-4473

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  4188 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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