Healthcare Provider Details

I. General information

NPI: 1538388616
Provider Name (Legal Business Name): CHARLES STEVEN MCMARROW D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 COLUMBUS LANCASTER RD NW
CARROLL OH
43112-9517
US

IV. Provider business mailing address

7440 COLUMBUS LANCASTER RD NW
CARROLL OH
43112-9517
US

V. Phone/Fax

Practice location:
  • Phone: 614-571-8844
  • Fax: 614-656-1459
Mailing address:
  • Phone: 614-571-8844
  • Fax: 614-656-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1943
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: