Healthcare Provider Details

I. General information

NPI: 1922293869
Provider Name (Legal Business Name): DIMENSIONS CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E DUBLIN GRANVILLE RD
COLUMBUS OH
43231-4039
US

IV. Provider business mailing address

2615 E DUBLIN GRANVILLE RD
COLUMBUS OH
43231-4039
US

V. Phone/Fax

Practice location:
  • Phone: 614-899-9933
  • Fax: 614-899-9394
Mailing address:
  • Phone: 614-899-9933
  • Fax: 614-899-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2129
License Number StateOH

VIII. Authorized Official

Name: MRS. RENEE MATVEY
Title or Position: ADMINSTRATOR
Credential:
Phone: 614-899-9933