Healthcare Provider Details

I. General information

NPI: 1801079033
Provider Name (Legal Business Name): HOMAN CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 GLEN ESTEWITHAMSVILLE RD
CINCINNATI OH
45245-1523
US

IV. Provider business mailing address

4380 GLEN ESTEWITHAMSVILLE RD
CINCINNATI OH
45245-1523
US

V. Phone/Fax

Practice location:
  • Phone: 513-753-6325
  • Fax: 513-753-6320
Mailing address:
  • Phone: 513-753-6325
  • Fax: 513-753-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DARRELL ALLEN HOMAN
Title or Position: OWNER
Credential: DC, RPH, FASA
Phone: 513-753-6325