Healthcare Provider Details

I. General information

NPI: 1265614564
Provider Name (Legal Business Name): OXFORD CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 S COLLEGE AVE SUITE A
OXFORD OH
45056-2211
US

IV. Provider business mailing address

507 S COLLEGE AVE SUITE A
OXFORD OH
45056-2211
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-7118
  • Fax: 513-524-2225
Mailing address:
  • Phone: 513-523-7118
  • Fax: 513-524-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1213
License Number StateOH

VIII. Authorized Official

Name: MRS. DIANE BEARDEN ZIPKO
Title or Position: TREASURER
Credential:
Phone: 513-523-7118