Healthcare Provider Details

I. General information

NPI: 1609808435
Provider Name (Legal Business Name): BRIAN H DUERMIT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 W US HIGHWAY 22 AND 3 SUITE O
MAINEVILLE OH
45039-8103
US

IV. Provider business mailing address

7376 HURLINSHAM LN
MAINEVILLE OH
45039-7339
US

V. Phone/Fax

Practice location:
  • Phone: 513-683-4387
  • Fax: 513-683-9219
Mailing address:
  • Phone: 513-673-9486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: