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NPI Code Detail

MEDICARE: MT. LOOKOUT CHIROPRACTIC CENTER, INC.

MEDICARE: MT. LOOKOUT CHIROPRACTIC CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C12019OTHEROHRR MEDICARE GROUP NO.

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346369295
Entity Type Code : Organization
Provider Name (Legal Business Name) : MT. LOOKOUT CHIROPRACTIC CENTER, INC.
Provider Business Mailing Address
First Line : 455 DELTA AVE
Second Line : SUITE 1
City : CINCINNATI
State : OH
Zip : 45226-1127
Country : US
Telephone Number : 513-321-8484
Fax Number : 513-321-3676
Provider Business Practice Location Address
First Line : 455 DELTA AVE
Second Line : SUITE 1
City : CINCINNATI
State : OH
Zip : 45226-1127
Country : US
Telephone Number : 513-321-8484
Fax Number : 513-321-3676
Authorized Official
Title or Position : OWNER
Name : MR. MARK A KING
Credential : D.C
Telephone Number : 513-321-8484
Provider Enumeration Date : 03/29/2007
Last Update Date : 04/21/2011

Similar Medicare Providers

1841276441 — MRS. DONNA L MOLONEY D.C
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676
1275519647 — MR. ERIC W EISELT D.C.
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676
1629054739 — MR. MARK A. KING D.C.
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676
1073599197 — MR. STEVEN W. KING D.C
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676
1689631012 — DAVID STEJBACH DPT
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676
1386804284 — MR. JASON RANDALL PLACEWAY D.C
Practice Location Address:
455 DELTA AVE , SUITE 1
CINCINNATI, OH
45226-1127
Practice Phone: 513-321-8484
Practice Fax: 513-321-3676

Directions to “MT. LOOKOUT CHIROPRACTIC CENTER, INC. ” Practice Location

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