Healthcare Provider Details

I. General information

NPI: 1164347605
Provider Name (Legal Business Name): ROBERT SAMUEL PREWITT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 E KEMPER RD STE A
CINCINNATI OH
45249-1680
US

IV. Provider business mailing address

8390 E KEMPER RD STE A
CINCINNATI OH
45249-1680
US

V. Phone/Fax

Practice location:
  • Phone: 513-774-9800
  • Fax: 888-315-2865
Mailing address:
  • Phone: 513-774-9800
  • Fax: 888-315-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC05563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: