Healthcare Provider Details

I. General information

NPI: 1831315530
Provider Name (Legal Business Name): CHRISTOPHER MAX LOVE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTOPHER MAX LOVE D.C.

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 HOOVER ROAD,
GROVE CITY OH
43123-0577
US

IV. Provider business mailing address

PO BOX 577 3590 HOOVER ROAD,
GROVE CITY OH
43123-0577
US

V. Phone/Fax

Practice location:
  • Phone: 614-871-8400
  • Fax: 614-871-8897
Mailing address:
  • Phone: 614-871-8400
  • Fax: 614-871-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3709
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: