Healthcare Provider Details

I. General information

NPI: 1215135173
Provider Name (Legal Business Name): CHIRO MED HOLISTIC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2097
License Number StateOH

VIII. Authorized Official

Name: DR. BRIAN H DUERMIT
Title or Position: OWNER
Credential: D.C.
Phone: 513-683-4387