Healthcare Provider Details

I. General information

NPI: 1821921321
Provider Name (Legal Business Name): JESSICA LYNN BAHAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DUBLIN RD
COLUMBUS OH
43215-1009
US

IV. Provider business mailing address

4827 GLENDON RD
COLUMBUS OH
43229-6447
US

V. Phone/Fax

Practice location:
  • Phone: 614-957-3630
  • Fax:
Mailing address:
  • Phone: 614-563-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number05394
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: