Healthcare Provider Details

I. General information

NPI: 1598862203
Provider Name (Legal Business Name): MICHAEL E NELL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 WOODBURN AVE
CINCINNATI OH
45206-1412
US

IV. Provider business mailing address

415 GLENSPRINGS DR STE 100
CINCINNATI OH
45246-2317
US

V. Phone/Fax

Practice location:
  • Phone: 513-851-8686
  • Fax: 513-851-8786
Mailing address:
  • Phone: 513-851-8686
  • Fax: 513-851-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberOH1194
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: