1134201973 NPI number — RJF CHIROPRACTIC CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134201973 NPI number — RJF CHIROPRACTIC CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RJF CHIROPRACTIC 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:
6
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:
1134201973
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
415 GLENSPRINGS DR
Provider Second Line Business Mailing Address:
SUITE 305
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45246-2317
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-851-8686
Provider Business Mailing Address Fax Number:
513-851-8786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
415 GLENSPRINGS DR
Provider Second Line Business Practice Location Address:
SUITE 305
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45246-2317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-851-8686
Provider Business Practice Location Address Fax Number:
513-851-8786
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FICK
Authorized Official First Name:
RANDALL
Authorized Official Middle Name:
JON
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
513-851-8686

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1182 , 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)

  • Identifier: 9304821 . This is a "PTAN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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