Healthcare Provider Details

I. General information

NPI: 1487991717
Provider Name (Legal Business Name): BEACHY FAMILY CHIROPRACTIC DCPA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 MILL RD
BELLVILLE OH
44813-1280
US

IV. Provider business mailing address

751 MILL RD
BELLVILLE OH
44813-1280
US

V. Phone/Fax

Practice location:
  • Phone: 419-886-7007
  • Fax: 419-886-2080
Mailing address:
  • Phone: 419-886-7007
  • Fax: 419-886-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3481
License Number StateOH

VIII. Authorized Official

Name: DR. MATTHEW J BEACHY
Title or Position: DOCTOR
Credential: D.C.
Phone: 419-886-7007