=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902096282
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN HEALTH CHIROPRACTIC INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2007
-----------------------------------------------------
Last Update Date | 05/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5870 COOK RD UNIT B
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45150-1583
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-576-6699
-----------------------------------------------------
Fax | 513-576-6452
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1081B STATE ROUTE 28 STE 201
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45150-2001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-576-6699
-----------------------------------------------------
Fax | 513-576-6452
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ANTONIO CRISCI
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 513-576-6699
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------