Healthcare Provider Details

I. General information

NPI: 1467471417
Provider Name (Legal Business Name): LATONA CHIROPRACTIC & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 MAIN ST
HILLIARD OH
43026-1475
US

IV. Provider business mailing address

3600 MAIN ST
HILLIARD OH
43026-1475
US

V. Phone/Fax

Practice location:
  • Phone: 614-876-5595
  • Fax: 614-921-9263
Mailing address:
  • Phone: 614-876-5595
  • Fax: 614-921-9263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH A LATONA
Title or Position: PRESIDENT
Credential: DC
Phone: 614-876-5595