Healthcare Provider Details

I. General information

NPI: 1679676993
Provider Name (Legal Business Name): HEALTHQUEST OF MT ORAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N POINT DR
MOUNT ORAB OH
45154-8366
US

IV. Provider business mailing address

131 N POINT DR
MOUNT ORAB OH
45154-8366
US

V. Phone/Fax

Practice location:
  • Phone: 937-444-1166
  • Fax: 888-315-2865
Mailing address:
  • Phone: 937-444-1166
  • Fax: 888-757-7699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE PENDELL
Title or Position: CEO
Credential: DC
Phone: 513-404-5301