Healthcare Provider Details
I. General information
NPI: 1790906030
Provider Name (Legal Business Name): CHIROPRACTICARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2007
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2879 E DUBLIN GRANVILLE RD
COLUMBUS OH
43231-4063
US
IV. Provider business mailing address
100 HIGHVIEW BLVD
COLUMBUS OH
43207-6023
US
V. Phone/Fax
- Phone: 614-898-0787
- Fax:
- Phone: 614-492-0414
- Fax: 614-492-9440
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 2428 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
JAMES
JOSEPH
APPELL
Title or Position: OWNER
Credential: D.C.
Phone: 614-492-0414