Healthcare Provider Details

I. General information

NPI: 1528032653
Provider Name (Legal Business Name): BRIAN J SAXTON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 W. CANAL STREET
OTTOVILLE OH
45876
US

IV. Provider business mailing address

271 WEST CANAL STREET PO BOX 295
OTTOVILLE OH
45876-0295
US

V. Phone/Fax

Practice location:
  • Phone: 419-453-2279
  • Fax: 419-453-2280
Mailing address:
  • Phone: 419-453-2279
  • Fax: 419-453-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2562
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: